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1265997357
REGINA RAQUELLE MODZEL
WASHINGTON, DC
NPI
1265997357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DC PTA000181)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
REGINA RAQUELLE MODZEL PTA
102 IRVING ST NW
WASHINGTON, DC 20010-2921
Phone number: 202-877-1000
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Mailing Address
REGINA RAQUELLE MODZEL PTA
1529 14TH ST NW APT 402
WASHINGTON, DC 20005-3786
Phone number: 330-417-3051
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