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1891349569
PHILLIP TAVOLACCI
SILVER SPRING, MD
NPI
1891349569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21271)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
-- PHILLIP TAVOLACCI MSPT
407 LEIGHTON AVE
SILVER SPRING, MD 20901-4823
Phone number: 301-652-2522
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Mailing Address
-- PHILLIP TAVOLACCI MSPT
407 LEIGHTON AVE
SILVER SPRING, MD 20901-4823
Phone number: 301-652-2522
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