FREDERIC WIXSON

ALEXANDRIA, VA
NPI1194363523
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center Physical Therapy
(Licence: VA  2305005410)
Enumeration Date2019-12-17
Last Update Date2020-04-06
Business Address
FREDERIC WIXSON MSPT, GCS
417 E WINDSOR AVE
ALEXANDRIA, VA 22301-1227
Phone number: 703-739-8244
Mailing Address
FREDERIC WIXSON MSPT, GCS
417 E WINDSOR AVE
ALEXANDRIA, VA 22301-1227
Phone number: 703-739-8244
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