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1306211347
KELLIE N WADSWORTH
LORTON, VA
NPI
1306211347
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Former Name
KELLIE RAMIREZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305209869)
Enumeration Date
2015-12-02
Last Update Date
2024-03-15
Business Address
KELLIE N WADSWORTH DPT
10716 RICHMOND HWY STE 103
LORTON, VA 22079-2645
Phone number: 703-892-6500
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Mailing Address
KELLIE N WADSWORTH DPT
10716 RICHMOND HWY STE 103
LORTON, VA 22079-2645
Phone number: 703-892-6500
Copy
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