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Organization
REVAMP PHYSICAL THERAPY
Active
Organization
REVAMP PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA BORGES (OWNER)
(540) 333-5102
Entity
Organization
Contact information
Practice address
12799 MILL BROOK CT, WOODBRIDGE, VA 22192-2922
(703) 672-0501
Mailing address
PO BOX 792, LORTON, VA 22199-0792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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