Individual
COURTNEY PATRICIA VANWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6733 CURRAN ST STE 100, MC LEAN, VA 22101-6032
(703) 448-0259
Mailing address
2230 GEORGE C MARSHALL DR APT 901, FALLS CHURCH, VA 22043-2580
(410) 294-4622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214657
VA
Other
Enumeration date
08/27/2021
Last updated
08/30/2021
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