Jacqueline Lee Maier, PTA, CLT

NPI #1598102956 in Herndon, Virginia

Provider Information

NPI Number: 1598102956
Entity Type: Individual
Name: Jacqueline Lee Maier, PTA, CLT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, CLT
Enumeration Date: May 25, 2013
Last Updated: May 25, 2013

Practice Location

Address: 2652 W OX RD
City: Herndon
State: Virginia
ZIP Code: 20171-3530
Phone: (703) 307-4204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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