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Individual

TASHA WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
102 IRVING ST NW, FIRST FLOOR, OUTPATIENT PT, WASHINGTON, DC 20010-2921
(855) 546-1064
Mailing address
102 IRVING ST NW, FIRST FLOOR, OUTPATIENT PT, WASHINGTON, DC 20010-2921

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209787
VA

Other

Enumeration date
08/27/2015
Last updated
08/27/2015
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