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1962617084
TISA L NEWHOUSE
WOODBRIDGE, VA
NPI
1962617084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001507)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- TISA L NEWHOUSE PTA
12191 CLIPPER DR
WOODBRIDGE, VA 22192-2237
Phone number: 703-496-3486
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Mailing Address
-- TISA L NEWHOUSE PTA
14123 WELLMAN CT
MANASSAS, VA 20112-7003
Phone number: 703-794-8220
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