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1154543163
ELLEN MARIE YACH
WOODBRIDGE, VA
NPI
1154543163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001136)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mrs. ELLEN MARIE YACH LPTA
12191 CLIPPER DR
WOODBRIDGE, VA 22192-2237
Phone number: 703-496-3486
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Mailing Address
Mrs. ELLEN MARIE YACH LPTA
14210 FERNDALE RD
WOODBRIDGE, VA 22193-2133
Phone number: 703-897-8041
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