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1619429214
KATHLEEN NUCKOLS ORTWINE
MECHANICSVILLE, VA
NPI
1619429214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604596)
Enumeration Date
2016-10-30
Last Update Date
2024-04-09
Business Address
KATHLEEN NUCKOLS ORTWINE
7090 COVENANT WOODS DR
MECHANICSVILLE, VA 23111-7025
Phone number: 804-559-8936
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Mailing Address
KATHLEEN NUCKOLS ORTWINE
7090 COVENANT WOODS DR
MECHANICSVILLE, VA 23111-7025
Phone number: 804-559-8936
Copy
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