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1376833590
TIRA JANETTE BOENECKE
FREDERICKSBURG, VA
NPI
1376833590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119005278)
Enumeration Date
2011-04-08
Last Update Date
2011-04-08
Business Address
-- TIRA JANETTE BOENECKE MOTR/L
6101 HEALTH CENTER LANE CARRIAGE HILL HEALTH AND REHAB
FREDERICKSBURG, VA 22407
Phone number: 540-785-1103
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Mailing Address
-- TIRA JANETTE BOENECKE MOTR/L
627 FORBES ST
FREDERICKSBURG, VA 22405
Phone number:
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