Inner Core Wellness Llc

NPI 1154673366 - Physical Therapist - 225100000X

NPI Details
NPI 1154673366
Enumeration Date 10/11/2012
Last Updated 10/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARIA LOURDES MARIA
Position OWNER/PHYSICAL THERAPIST
Phone (703) 506-1010
Fax (703) 763-2333
Practice Location
2108 GALLOWS RD
SUITE A
VIENNA VA, 22182-3980, US
Phone (703) 506-1010
Fax (703) 763-2333
Business Location
2108 GALLOWS RD
SUITE A
VIENNA VA, 22182-3980, US
Phone (703) 506-1010
Fax (703) 763-2333
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number 2305004830
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According to our database, Inner Core Wellness Llc NPI is 1154673366, taxonomy code is 225100000X and license number is 2305004830, license state is located at Virginia. Inner Core Wellness Llc physically located at 2108 Gallows Rd, Vienna VA, 22182-3980. NPI Number 1033115704 has the healthcare provider type.

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1154673366 NPI number is provided on an as is basis without warranty of any kind. 1154673366 is maintained by the National Plan & Provider Enumeration System. The contents of Inner Core Wellness Llc are for informational purposes only.