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Organization
LEESBURG SPORTS, INC.
Active
Organization
LEESBURG SPORTS, INC.
Active
Other names
Physiotherapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 390, RIVERSIDE OFFICE PARK, LANSDOWNE, VA 20176-3688
(703) 858-3100
(703) 858-3101
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
10/26/2018
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