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1033760947
MIGUEL O LANA
WOODBRIDGE, VA
NPI
1033760947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305213014)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
MIGUEL O LANA PT
13854 SMOKETOWN RD
WOODBRIDGE, VA 22192-4210
Phone number: 703-670-9935
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Mailing Address
MIGUEL O LANA PT
5252 LYNGATE CT STE 203
BURKE, VA 22015-1673
Phone number: 703-239-2300
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