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1952435240
REAGAN L EDWARDS
FAIRFAX, VA
NPI
1952435240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204049)
Enumeration Date
2007-03-16
Last Update Date
2021-07-01
Business Address
REAGAN L EDWARDS PT
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033-3310
Phone number: 703-383-5497
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Mailing Address
REAGAN L EDWARDS PT
2101 E JEFFERSON ST KAISER PERMANENTE ATTN: THERESA A JACKSON
ROCKVILLE, MD 20852-4908
Phone number: 301-816-7405
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