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1821371659
JANE FIELDS ELLISON
LEESBURG, VA
NPI
1821371659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 230600042)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
-- JANE FIELDS ELLISON PTA
224D CORNWALL ST NW SUITE 200
LEESBURG, VA 20176-2700
Phone number: 703-443-2223
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Mailing Address
-- JANE FIELDS ELLISON PTA
PO BOX 17334
BALTIMORE, MD 21297-1334
Phone number: 703-443-6717
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