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1104969120
TERESA MARIE GRANT
PURCELLVILLE, VA
NPI
1104969120
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Former Name
TERESA MARIE WHITNEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 23050092938)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Mrs. TERESA MARIE GRANT PT
125 HIRST RD SUITE 6A
PURCELLVILLE, VA 20132-6000
Phone number: 540-751-1970
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Mailing Address
Mrs. TERESA MARIE GRANT PT
19027 SILCOTT SPRINGS RD
PURCELLVILLE, VA 20132-3917
Phone number: 540-338-1881
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