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Organization
SPORTS MEDICINE AND ORTHOPAEDIC CENTER
Active
Organization
SPORTS MEDICINE AND ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIANNON RUSCITTO (SPECIAL PROJECTS MANAGER)
(757) 842-7010
Entity
Organization
Contact information
Practice address
501 DISCOVERY DR STE 100, CHESAPEAKE, VA 23320-3843
(757) 842-7010
Mailing address
501 DISCOVERY DR, CHESAPEAKE, VA 23320-3843
(757) 842-7010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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