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1649010331
MARY DEBOLT
ALEXANDRIA, VA
NPI
1649010331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216481)
Enumeration Date
2024-05-29
Last Update Date
2024-09-16
Business Address
MARY DEBOLT DPT
6408 GROVEDALE DRIVE, SUITE 102
ALEXANDRIA, VA 22310-2596
Phone number: 703-884-8490
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Mailing Address
MARY DEBOLT DPT
224-D CORNWALL STREET, NW, SUITE 403
LEESBURG, VA 20176-2704
Phone number: 703-737-6010
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