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1164919932
KELLIE ANNE WALTER
CENTREVILLE, VA
NPI
1164919932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602825)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
Mrs. KELLIE ANNE WALTER LPTA
6201 CENTREVILLE RD STE 600
CENTREVILLE, VA 20121-2634
Phone number: 703-435-6604
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Mailing Address
Mrs. KELLIE ANNE WALTER LPTA
6201 CENTREVILLE RD STE 600
CENTREVILLE, VA 20121-2634
Phone number: 703-435-6604
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