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1053710855
JUSTIN FRICK
WOODBRIDGE, VA
NPI
1053710855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305208850)
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
-- JUSTIN FRICK
14524 POTOMAC MILLS RD
WOODBRIDGE, VA 22192-6803
Phone number: 703-490-6726
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Mailing Address
-- JUSTIN FRICK
13542 ORCHARD DR
CLIFTON, VA 20124-1055
Phone number: 908-507-6463
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