Search › Virginia › 225200000X
Kimberly Phomsopha, PTA
NPI 1619588167 · on the registry since 2020 · sole proprietor
Practice
- Address
- 44124 Woodridge Pkwy
Leesburg, VA 20176 - Phone
- (703) 729-4870
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-10
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