NPI 1417412636

Kelly Marie Cardillo, PTA

Practitioner Physical Medicine & Rehabilitation Physician Fairfax, VA

Practice location

Address: 9229 Arlington Blvd, Fairfax, VA 22031-2504
Phone: (703) 277-6611
Fax: (703) 383-0206
Mailing address: 5809 Cove Landing Rd APT 304, Burke, VA 22015-2679

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2306603596 (VA)

Other Physical Medicine & Rehabilitation providers in Virginia →

Registry record

NPI: 1417412636
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2019
Record last updated: 1 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.