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1194196642
AMY M DECROO
FAIRFAX, VA
NPI
1194196642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306601231)
Enumeration Date
2015-10-09
Last Update Date
2017-04-06
Business Address
-- AMY M DECROO PTA
10701 MAIN ST
FAIRFAX, VA 22030-6904
Phone number: 703-273-7705
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Mailing Address
-- AMY M DECROO PTA
10701 MAIN ST
FAIRFAX, VA 22030-6904
Phone number: 703-273-7705
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