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1154096766
MICHAEL DATILES
FAIRFAX, VA
NPI
1154096766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305214541)
Enumeration Date
2021-08-16
Last Update Date
2021-08-17
Business Address
MICHAEL DATILES DPT
8501 ARLINGTON BLVD STE 200
FAIRFAX, VA 22031-4625
Phone number: 703-970-6490
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Mailing Address
MICHAEL DATILES DPT
2206 OSBORN DR
SILVER SPRING, MD 20910-1323
Phone number: 240-483-1109
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