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1083187447
HEIDI PENA-MOOG
FAIRFAX, VA
NPI
1083187447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001382)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
HEIDI PENA-MOOG LPTA
9229 ARLINGTON BLVD
FAIRFAX, VA 22031-2550
Phone number: 703-277-6611
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Mailing Address
HEIDI PENA-MOOG LPTA
9229 ARLINGTON BLVD
FAIRFAX, VA 22031-2550
Phone number: 703-277-6611
Copy
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