Madison Soupiset, DPT, PT
NPI #1942075171 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1942075171
- Entity Type
- Individual
- Name
- Madison Soupiset, DPT, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT, PT
- Enumeration Date
- Nov 17, 2023
- Last Updated
- Feb 5, 2024
Practice Location
- Address
- 12825 MINNIEVILLE RD STE 203
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-3602
- Phone
- (703) 647-3130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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