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1063088193
SELENA RENEE BAREFOOT
WOODBRIDGE, VA
NPI
1063088193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306601791)
Enumeration Date
2021-05-30
Last Update Date
2021-05-30
Business Address
SELENA RENEE BAREFOOT
14605 POTOMAC BRANCH DR
WOODBRIDGE, VA 22191-3336
Phone number: 703-490-1112
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Mailing Address
SELENA RENEE BAREFOOT
42 BARCLAY LN
STAFFORD, VA 22554-7724
Phone number: 703-479-4985
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