Provider First Line Business Practice Location Address:
2212 MOUNT VERNON AVE
Provider Second Line Business Practice Location Address:
CORE WELLNESS AND PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22301-1356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-599-0634
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2006