Search › Virginia › 225200000X
Jessica Cantu-Lane, PTA
NPI 1043510639 · on the registry since 2010
Practice
- Address
- 5618h Ox Rd
Fairfax Station, VA 22039 - Phone
- (703) 426-4949
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
225200000X - Licence states on file
- VA, TN, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia