MEDICARE: LIJUAN ZHANG LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0019020372	VA

General Provider Information

NPI Number	:	1588529861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIJUAN ZHANG LMT

Provider Business Mailing Address
First Line	:	11741 LEDURA CT APT 105
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-2355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11741 LEDURA CT APT 105
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-2355
Country	:	US
Telephone Number	:	703-220-7368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ LIJUAN ZHANG LMT” Practice Location

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