LEO ALPHONSUS SAN JOSE MALINAO

VIENNA, VA
NPI1245913615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305215947)
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
-- LEO ALPHONSUS SAN JOSE MALINAO PT, DPT
501 CHURCH ST NE STE 105
VIENNA, VA 22180-4734
Phone number: 703-938-8585
Mailing Address
-- LEO ALPHONSUS SAN JOSE MALINAO PT, DPT
6779 LANTANA DR
BRYANS ROAD, MD 20616-4238
Phone number: 229-366-0666
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