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1972796910
KRISTIN BENTIVOGLI GOODMAN
FAIRFAX, VA
NPI
1972796910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: VA 2305205066)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
-- KRISTIN BENTIVOGLI GOODMAN DPT
9685 MAIN ST STE B
FAIRFAX, VA 22031-3752
Phone number: 703-978-8400
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Mailing Address
-- KRISTIN BENTIVOGLI GOODMAN DPT
9685 MAIN ST STE B
FAIRFAX, VA 22031-3752
Phone number: 703-978-8400
Copy
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