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1205805058
ANDREW ANTHONY PRISHACK
FAIRFAX, VA
NPI
1205805058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204089)
Enumeration Date
2006-03-15
Last Update Date
2007-07-08
Business Address
-- ANDREW ANTHONY PRISHACK PT
11230 WAPLES MILL RD SUITE 130
FAIRFAX, VA 22030-6087
Phone number: 703-273-2400
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Mailing Address
-- ANDREW ANTHONY PRISHACK PT
4306 GENERAL KEARNY CT
CHANTILLY, VA 20151-1322
Phone number: 703-955-0235
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