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Organization
MCLEAN PHYSICAL THERAPY & REHAB SERVICES, LLC.
Active
Organization
MCLEAN PHYSICAL THERAPY & REHAB SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE-MARIE DECKX (PHYSICAL THERAPIST)
(703) 356-7801
Entity
Organization
Contact information
Practice address
1515 CHAIN BRIDGE RD, SUITE #104, MCLEAN, VA 22101-4451
(703) 356-7801
(703) 356-7814
Mailing address
1515 CHAIN BRIDGE RD, SUITE #104, MCLEAN, VA 22101-4451
(703) 356-7801
(703) 356-7814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4550
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3318097
AETNA HMO
VA
01
—
7400481
AETNA PPO
VA
01
—
J684
BCBS
VA
Enumeration date
11/10/2006
Last updated
03/08/2013
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