Susan Waldo, PT

NPI #1477627636 in Ashburn, Virginia

Provider Information

NPI Number: 1477627636
Entity Type: Individual
Name: Susan Waldo, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 20099 ASHBROOK PL
Address 2: UNIT 195
City: Ashburn
State: Virginia
ZIP Code: 20147-3367
Phone: (703) 726-9866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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