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Organization
SODA BRAND LLC
Active
Organization
SODA BRAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYROSLAV ZVERSHKHOVSKYY (CEO/OWNER)
(201) 214-7383
Entity
Organization
Contact information
Practice address
888 N QUINCY ST UNIT 709, ARLINGTON, VA 22203-2073
(201) 214-7383
Mailing address
888 N QUINCY ST UNIT 709, ARLINGTON, VA 22203-2073
(201) 214-7383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/18/2023
Last updated
06/03/2024
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