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1700628971
RYAN SIVAK
FREDERICKSBURG, VA
NPI
1700628971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216469)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
RYAN SIVAK
421 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405-2561
Phone number: 540-373-3031
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Mailing Address
RYAN SIVAK
10086 ADAMS DR
KING GEORGE, VA 22485-2010
Phone number: 540-846-3839
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