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1447517966
SHRUTI KISHORBHAI KOTAK
MANASSAS, VA
NPI
1447517966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305210053)
Enumeration Date
2012-04-20
Last Update Date
2020-04-23
Business Address
SHRUTI KISHORBHAI KOTAK PT
8609 SUDLEY RD STE 102
MANASSAS, VA 20110-4500
Phone number: 703-366-3626
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Mailing Address
SHRUTI KISHORBHAI KOTAK PT
5252 LYNGATE CT STE 203
BURKE, VA 22015-1673
Phone number: 703-239-2300
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