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1104489772
ALEXANDER ANDRE
VIENNA, VA
NPI
1104489772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212621)
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
Mr. ALEXANDER ANDRE DPT
204 MILL ST NE STE E
VIENNA, VA 22180-4500
Phone number: 703-991-8156
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Mailing Address
Mr. ALEXANDER ANDRE DPT
PO BOX 724557
ATLANTA, GA 31139-1557
Phone number: 757-873-4115
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