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1144727934
KRISTEN LANE VANDERWIJST
FREDERICKSBURG, VA
NPI
1144727934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305207113)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
MRS. KRISTEN LANE VANDERWIJST DPT
4701 SPOTSYLVANIA PKWY STE 106
FREDERICKSBURG, VA 22407-9435
Phone number: 540-710-0100
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Mailing Address
MRS. KRISTEN LANE VANDERWIJST DPT
11717 HARRIS MILL CT
FREDERICKSBURG, VA 22408-1890
Phone number: 757-374-9839
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