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1801967203
TERI DIANE BRAXTON-COLWELL
STERLING, VA
NPI
1801967203
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Former Name
TERI DIANE BRAXTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 20490)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
Mrs. TERI DIANE BRAXTON-COLWELL PT
20535 EARHART PL
STERLING, VA 20165-3581
Phone number: 703-404-5223
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Mailing Address
Mrs. TERI DIANE BRAXTON-COLWELL PT
20496 BLUE HERON TER
STERLING, VA 20165-6573
Phone number: 703-450-1919
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