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1457028490
ADAM BLAINE
ALEXANDRIA, VA
NPI
1457028490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305214641)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
ADAM BLAINE DPT
225 REINEKERS LN
ALEXANDRIA, VA 22314-2856
Phone number: 703-672-7208
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Mailing Address
ADAM BLAINE DPT
4400 4TH ST N APT 108
ARLINGTON, VA 22203-3006
Phone number: 304-923-2694
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