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Organization
PHYSICAL RESTORATION AND SPORTS MEDICINE LLC
Active
Organization
PHYSICAL RESTORATION AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC O MEADOWS PT, ATC (OWNER)
(703) 444-8210
Entity
Organization
Contact information
Practice address
46304 MCCLELLAN WAY, STERLING, VA 20165-7243
(703) 444-8210
(703) 444-8213
Mailing address
46304 MCCLELLAN WAY, STERLING, VA 20165-7243
(703) 444-8210
(703) 444-8213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
02/29/2016
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