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1720472541
REBECCA DERTING
FREDERICKSBURG, VA
NPI
1720472541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602036)
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
REBECCA DERTING PTA
5308 RIVER RD STE PT
FREDERICKSBURG, VA 22407-2231
Phone number: 540-548-2943
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Mailing Address
REBECCA DERTING PTA
PO BOX 1975
ROME, GA 30162-1975
Phone number: 844-733-0211
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