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Individual

MS. MONICA MARY VICKERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 689-9047
Mailing address
5221 FERNBROOK DR, CENTREVILLE, VA 20120-1796
(703) 802-8974
(703) 802-1318

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000780
VA

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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