Alick Amini, C PED

NPI #1962972638 in Mc Lean, Virginia

Provider Information

NPI Number: 1962972638
Entity Type: Individual
Name: Alick Amini, C PED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pedorthist
Credential: C PED
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 1366 CHAIN BRIDGE RD
City: Mc Lean
State: Virginia
ZIP Code: 22101-3904
Phone: (703) 760-0950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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