# COMMONWEALTH SPORT AND SPINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699081877
- **Authorized official:** DR. ALBERT BRUCE THOMAS II M.D. (OWNER)
- **Authorized official phone:** (703) 869-2229

## Contact information

- **Practice address:** 46165 WESTLAKE DR STE 100, POTOMAC FALLS, VA 20165-5872
- **Practice address phone:** (703) 433-1700
- **Practice address fax:** (703) 433-9386
- **Mailing address:** PO BOX 651062, STERLING, VA 20165-1062
- **Mailing address phone:** (703) 869-2229
- **Mailing address fax:** (703) 997-4322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101049657 | VA | Yes |

## Other

- **Enumeration date:** 08/25/2010
- **Last updated:** 08/25/2010