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1013076231
CHARLES S OTTAVIO
ANNANDALE, VA
NPI
1013076231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VA 0105 003367)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- CHARLES S OTTAVIO P.T., OCS
7023 LITTLE RIVER TPKE SUITE #400
ANNANDALE, VA 22003-5939
Phone number: 703-354-1230
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Mailing Address
-- CHARLES S OTTAVIO P.T., OCS
9519 STEVEBROOK RD
FAIRFAX, VA 22032-2033
Phone number: 703-426-7270
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