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1104496777
KATHERINE ALEXANDRA BUKOVSKY
CENTREVILLE, VA
NPI
1104496777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC PTA)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
Miss KATHERINE ALEXANDRA BUKOVSKY
5136 PLEASANT FOREST DR
CENTREVILLE, VA 20120-1248
Phone number: 571-332-5283
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Mailing Address
Miss KATHERINE ALEXANDRA BUKOVSKY
5136 PLEASANT FOREST DR
CENTREVILLE, VA 20120-1248
Phone number: 571-332-5283
Copy
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