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1942858667
AMANDA NICOLE SHORT
RESTON, VA
NPI
1942858667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305213302)
Enumeration Date
2019-08-27
Last Update Date
2023-04-03
Business Address
AMANDA NICOLE SHORT DPT
1850 TOWN CENTER PKWY STE 403
RESTON, VA 20190-3300
Phone number: 804-915-1910
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Mailing Address
AMANDA NICOLE SHORT DPT
PO BOX 715868
PHILADELPHIA, PA 19171-7158
Phone number: 804-915-1910
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