Stephanie L Gilliam, PT

NPI #1164545034 in Mclean, Virginia

Provider Information

NPI Number
1164545034
Entity Type
Individual
Name
Stephanie L Gilliam, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Apr 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6849 OLD DOMINION DR
Address 2
SUITE 221
City
Mclean
ZIP Code
22101-3724
Phone
(703) 848-9333

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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