{
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"FirstLineMailingAddress": "16004 NORMANDY CT",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "571-989-2001",
"MailingAddressFaxNumber": "571-376-7015",
"FirstLinePracticeLocationAddress": "3310 NOBLE POND WAY STE 215",
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"PracticeLocationAddressTelephoneNumber": "571-989-2001",
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"EnumerationDate": "05/23/2016",
"LastUpdateDate": "02/23/2021",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLAIR",
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"Taxonomies": {
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"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}