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1922013622
BINTA LACY
FAIRFAX, VA
NPI
1922013622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204471)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
-- BINTA LACY
3750 OLD LEE HWY
FAIRFAX, VA 22030-1806
Phone number: 703-246-7160
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Mailing Address
-- BINTA LACY
4375 RALEIGH AVE APT 104
ALEXANDRIA, VA 22304-5355
Phone number:
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