# SUMMIT PEDIATRIC REHAB OF NO. VA, P.C.

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

## Provider details

- **NPI number:** 1851592182
- **Authorized official:** RHONDA VIOLA (BUSINESS MANAGER)
- **Authorized official phone:** (240) 397-7003

## Contact information

- **Practice address:** 2826 OLD LEE HWY, SUITE 200, FAIRFAX, VA 22031-4323
- **Practice address phone:** (877) 703-3448
- **Practice address fax:** (301) 668-7008
- **Mailing address:** 2730 PROSPERITY AVE STE B, FAIRFAX, VA 22031-4330
- **Mailing address phone:** (703) 289-1435
- **Mailing address fax:** (703) 289-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 10/08/2012