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GABRIELLE CORNWALL HARRISON MSPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1548819352

Individual Registrant:
 GABRIELLE CORNWALL HARRISON MSPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3750 OLD LEE HWY  FAIRFAX, VA 22030-1806 US
Tel: 703-947-7625  Fax: --

Contact information for business:
3750 OLD LEE HWY  FAIRFAX, VA 22030-1806 US
Tel: --  Fax: --

Registration Information:
NPI: 1548819352
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305006349

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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