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Nandina Jinnohara Ustaris, PT, DPT

Physical Therapist in Springfield, VA. Individual provider (NPI-1).

NPI number1265733554
StatusActive
Last updated in NPPESSep 13, 2011

Details

NPI
1265733554
Entity type
Individual (NPI-1)
Name
Nandina Jinnohara Ustaris
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2010
Last updated
Sep 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305206676VAYes

Other names

  • Nandina Ai Ling Hokulani Jinnohara (Former Name)

Practice location

8348 Traford Ln
Springfield, VA 22152-1663

Phone 703-569-7335

Mailing address

8348 Traford Ln
Springfield, VA 22152-1663

Phone 703-629-7759

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