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1508421181
ALICIA JANE RASTBERGER
FREDERICKSBURG, VA
NPI
1508421181
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Former Name
ALICIA JANE WYMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603362)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
ALICIA JANE RASTBERGER BS, LPTA
60 BRIMLEY DR
FREDERICKSBURG, VA 22406-5148
Phone number: 540-737-4505
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Mailing Address
ALICIA JANE RASTBERGER BS, LPTA
11422 SEYMOUR LN
SPOTSYLVANIA, VA 22551-4633
Phone number: 804-982-0531
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