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1225802101
TIFFANY NICOLE TEA
RESTON, VA
NPI
1225802101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216185)
Enumeration Date
2023-11-10
Last Update Date
2024-07-09
Business Address
TIFFANY NICOLE TEA PT, DPT
1850 TOWN CENTER PKWY STE 403
RESTON, VA 20190-3300
Phone number: 703-810-5203
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Mailing Address
TIFFANY NICOLE TEA PT, DPT
PO BOX 715868
PHILADELPHIA, PA 19171-5868
Phone number: 804-915-1910
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