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1164030003
CHRISTY TYQUIENGCO
VIRGINIA BEACH, VA
NPI
1164030003
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Professional Name
CHRISTY TYQUIENGCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306605280)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
Ms. CHRISTY TYQUIENGCO PTA
3100 SHORE DR
VIRGINIA BEACH, VA 23451-1467
Phone number: 800-392-9187
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Mailing Address
Ms. CHRISTY TYQUIENGCO PTA
1800 GRAVENHURST DR
VIRGINIA BEACH, VA 23464-8656
Phone number: 787-371-1401
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