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Organization
SUMMIT PEDIATRIC REHAB OF NO. VA, P.C.
Active
Organization
SUMMIT PEDIATRIC REHAB OF NO. VA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VIOLA (BUSINESS MANAGER)
(240) 397-7003
Entity
Organization
Contact information
Practice address
2826 OLD LEE HWY, SUITE 200, FAIRFAX, VA 22031-4323
(877) 703-3448
(301) 668-7008
Mailing address
2730 PROSPERITY AVE STE B, FAIRFAX, VA 22031-4330
(703) 289-1435
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
10/08/2012
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