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Organization
SPINE AND SPORT REHAB CENTER INC
Active
Organization
SPINE AND SPORT REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN LE DC (PRESIDENT)
(703) 998-0600
Entity
Organization
Contact information
Practice address
4656D KING ST, ALEXANDRIA, VA 22302-1215
(703) 998-0600
(703) 998-0333
Mailing address
4656D KING ST, ALEXANDRIA, VA 22302-1215
(703) 998-0600
(703) 998-0333
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0104556081
VA
Other
Enumeration date
10/17/2007
Last updated
03/21/2013
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