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1346323474
EARL LAURENCE GRINE
RESTON, VA
NPI
1346323474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305202763)
Enumeration Date
2006-10-23
Last Update Date
2022-07-21
Business Address
Mr. EARL LAURENCE GRINE PT, MSPT, ATC, CSCS
11800 SUNRISE VALLEY DR 100
RESTON, VA 20191
Phone number: 703-709-1116
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Mailing Address
Mr. EARL LAURENCE GRINE PT, MSPT, ATC, CSCS
1634 AUTUMNWOOD DR
RESTON, VA 20194-1522
Phone number: 703-437-8011
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