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1245593029
KATHRYN ELIZABETH CANYON
FAIRFAX, VA
NPI
1245593029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602837)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
-- KATHRYN ELIZABETH CANYON PTA
4001 FAIR RIDGE DR SUITE 203
FAIRFAX, VA 22033-2917
Phone number: 703-865-7680
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Mailing Address
-- KATHRYN ELIZABETH CANYON PTA
11084 WAINWRIGHT PL
MANASSAS, VA 20109-8274
Phone number: 703-881-8201
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