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TYRONE DOMINIC HEITMANN PT

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

Registrant NPI Number: 1285764753

Individual Registrant:
 TYRONE DOMINIC HEITMANN PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3620 JOSEPH SIEWICK DR STE 100A FAIRFAX, VA 22033-1756 US
Tel: 703-810-5227  Fax: 703-810-5224

Contact information for business:
11240 WAPLES MILL RD SUITE 403 FAIRFAX, VA 22030-6078 US
Tel: 703-383-6454  Fax: 703-810-5494

Registration Information:
NPI: 1285764753
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305202538

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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