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Organization
NOVA REHAB CORP
Active
Organization
NOVA REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYUNG H KIM (PRESIDENT)
(703) 342-2612
Entity
Organization
Contact information
Practice address
4304 EVERGREEN LN STE 102, ANNANDALE, VA 22003-3216
(703) 256-7979
(703) 256-7770
Mailing address
4304 EVERGREEN LN, #102, ANNANDALE, VA 22003
(703) 256-7979
(703) 256-7770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
07/28/2017
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