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ALDOUS PETER JOSHUA BARORO ODULIO, PT

Active Sole Proprietor

ALDOUS PETER JOSHUA BARORO ODULIO, PT is a Physical Therapy Assistant healthcare provider located in LAKE RIDGE, Virginia. NPI 1245988120 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE RIDGE, VA

Registration Details

NPI Number
1245988120
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2022 (4.4206256235001 yrs)
Last Updated
Mar 10, 2022
Licenses
010839 (CT)
2305214744 (VA)
039677 (NY)
Sole Proprietor
Yes

Practice Information

Address
12185 CLIPPER DR
LAKE RIDGE, VA, 221922236
Browse VA providers · Browse ZIP 22192
Phone
7034963400
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE RIDGE, VA

Name Credential NPI
GLORIA CRUZ-FONTANA PT 1366501595
KRISTINA R MURPHY PT, MPT 1417181512
ASHLEY NORMAN PT, DPT 1538538848
GILISSA JOHNSON 1346706546
ANDREW LAWRENCE SHIPP PT, DPT 1841845492
LISA HOANG MOSER PT 1508473778
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.