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1174996888
SHARDONNAY REAVES
FREDERICKSBURG, VA
NPI
1174996888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604307)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
MRS. SHARDONNAY REAVES PTA
3310 FALL HILL AVE
FREDERICKSBURG, VA 22401-3000
Phone number: 540-373-7133
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Mailing Address
MRS. SHARDONNAY REAVES PTA
9339 MOUNTAIN RUN LAKE RD
CULPEPER, VA 22701-7354
Phone number: 540-229-0251
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