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Organization
NOVA PRIME PHYSICAL THERAPY PLLC
Active
Organization
NOVA PRIME PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHITAL KANAIYALAL GANDHI (OWNER)
(727) 317-8896
Entity
Organization
Contact information
Practice address
13995 METROTECH DR, CHANTILLY, VA 20151-3240
(571) 774-6378
Mailing address
PO BOX 222092, CHANTILLY, VA 20153-2092
(571) 774-6378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
06/01/2023
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