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Organization
SHAKYA REHAB LLC
Active
Organization
SHAKYA REHAB LLC
Active
Other names
MMA & Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UJJWAL SHAKYA DPT (PHYSICAL THERAPIST)
(571) 315-2637
Entity
Organization
Contact information
Practice address
1041 S EDGEWOOD ST, ARLINGTON, VA 22204-4813
(571) 315-2637
(703) 521-0373
Mailing address
6714 WESTCOTT RD, FALLS CHURCH, VA 22042-2718
(571) 315-2637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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