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Organization
PROFESSIONAL PHYSICAL THERAPY LLC
Active
Organization
PROFESSIONAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS KENDRICK CHAN MSPT (OWNER)
(703) 730-6400
Entity
Organization
Contact information
Practice address
3767 FETTLER PARK DR, DUMFRIES, VA 22025-1946
(703) 730-6400
Mailing address
3767 FETTLER PARK DR, DUMFRIES, VA 22025-1946
(703) 730-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
VA
Other
Enumeration date
10/14/2014
Last updated
06/02/2016
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