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Contact Information

CARDEA PHYSICAL MEDICINE, PLLC
12030 N SHORE DR
RESTON, VA20190-4987
 Phone: 702-426-0101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CARDEA PHYSICAL MEDICINE PLLC · (Female)

NPI # 1598056343
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2011
Last updated 04/27/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0104556266
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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