NATHAN LOUIS SLADE

FAIRFAX, VA
NPI1356952865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605670)
Enumeration Date2020-08-10
Last Update Date2020-08-12
Business Address
NATHAN LOUIS SLADE
10701 MAIN ST
FAIRFAX, VA 22030-6904
Phone number: 703-273-7705
Mailing Address
NATHAN LOUIS SLADE
2911 DEER HOLLOW WAY UNIT 418
FAIRFAX, VA 22031-6048
Phone number: 757-903-1411
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