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Individual

MS. ABBY MANDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2041 FREEDOM LN, FALLS CHURCH, VA 22043-1805
(703) 241-2122
(703) 237-9236
Mailing address
2041 FREEDOM LN, FALLS CHURCH, VA 22043-1805
(703) 241-2122
(703) 237-9236

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001395
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G880
CARE FIRST BLUE CROSS BLUE SHIELD
VA
Enumeration date
05/21/2008
Last updated
07/14/2008
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