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1558094581
TOAN TAN TRAC
BURKE, VA
NPI
1558094581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 015866)
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
TOAN TAN TRAC DPT
9409K OLD BURKE LAKE RD
BURKE, VA 22015-3127
Phone number: 703-425-1800
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Mailing Address
TOAN TAN TRAC DPT
3824 SAFEHAVEN CT
LAWRENCEVILLE, GA 30044-4057
Phone number: 404-512-8966
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