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1992051668
AMANDA LONGSTREET
SPRINGFIELD, VA
NPI
1992051668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: VA 0119004846)
Enumeration Date
2012-07-31
Last Update Date
2012-07-31
Business Address
-- AMANDA LONGSTREET
8348 TRAFORD LN SUITE 200
SPRINGFIELD, VA 22152-1663
Phone number: 703-569-7500
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Mailing Address
-- AMANDA LONGSTREET
8348 TRAFORD LN SUITE 200
SPRINGFIELD, VA 22152-1663
Phone number: 703-569-7500
Copy
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