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1932751005
BARRY WILLIAM GREEN
FALLS CHURCH, VA
NPI
1932751005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603260)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
MR. BARRY WILLIAM GREEN LPTA
3440 S JEFFERSON ST
FALLS CHURCH, VA 22041-3145
Phone number: 703-820-1488
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Mailing Address
MR. BARRY WILLIAM GREEN LPTA
6820 HONEYCUTT LN
GLOUCESTER, VA 23061-5247
Phone number: 804-413-3059
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