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1760759955
ELISKA AMYX
FAIRFAX STATION, VA
NPI
1760759955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603116)
Enumeration Date
2011-11-16
Last Update Date
2011-12-06
Business Address
Mrs. ELISKA AMYX PTA
11645 CAPTAIN RHETT LN
FAIRFAX STATION, VA 22039-1235
Phone number: 703-401-1191
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Mailing Address
Mrs. ELISKA AMYX PTA
11645 CAPTAIN RHETT LN
FAIRFAX STATION, VA 22039-1235
Phone number: 703-401-1191
Copy
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