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1134675010
ELIZABETH PAVESICH
VIENNA, VA
NPI
1134675010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305210546)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
-- ELIZABETH PAVESICH DPT
115 PARK ST SE SUITE 206
VIENNA, VA 22180-4653
Phone number: 703-766-0616
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Mailing Address
-- ELIZABETH PAVESICH DPT
4 BAFFORD CT
GLEN ARM, MD 21057-9764
Phone number:
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