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1740909373
IVY SAM LUONG
WOODBRIDGE, VA
NPI
1740909373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305215371)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
IVY SAM LUONG
14605 POTOMAC BRANCH DR STE 200
WOODBRIDGE, VA 22191-3337
Phone number: 703-580-5160
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Mailing Address
IVY SAM LUONG
4003 BRYCE RD
ALEXANDRIA, VA 22312-1024
Phone number:
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