Jessica May Cantu-Lane, PTA
NPI #1043510639 in Fairfax Station, Virginia
Provider Information
- NPI Number
- 1043510639
- Entity Type
- Individual
- Name
- Jessica May Cantu-Lane, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 28, 2010
- Last Updated
- Mar 21, 2018
Practice Location
- Address
- 5618H OX RD
- City
- Fairfax Station
- State
- Virginia
- ZIP Code
- 22039-1018
- Phone
- (703) 426-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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