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Individual

MS. JEANI VICHAYANONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4470 REGENCY PL, SUITE 100, WHITE PLAINS, MD 20695-3071
(301) 934-5336
Mailing address
4470 REGENCY PL, SUITE 100, WHITE PLAINS, MD 20695-3071
(301) 934-5336

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25337
MD

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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