Ian Michael Slattery, D.P.T.

NPI #1972823607 in Herndon, Virginia

Provider Information

NPI Number: 1972823607
Entity Type: Individual
Name: Ian Michael Slattery, D.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Jun 4, 2010
Last Updated: Jul 16, 2014

Practice Location

Address: 13039 WORLDGATE DR
City: Herndon
State: Virginia
ZIP Code: 20170-4374
Phone: (703) 689-3164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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