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MS. ELSIE ALLEN HENNIG LPTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1851666465

Individual Registrant:
MS. ELSIE ALLEN HENNIG LPTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10701 MAIN ST  FAIRFAX, VA 22030-6904 US
Tel: 703-273-7830  Fax: --

Contact information for business:
4420 17TH ST N  ARLINGTON, VA 22207-2308 US
Tel: 703-522-2639  Fax: --

Registration Information:
NPI: 1851666465
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
VA2306001763

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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