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Organization
PRIMUS PHYSICAL THERAPY
Active
Organization
PRIMUS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE DE CONTI DPT (CLINICAL SERVICES DIRECTOR)
(443) 812-9890
Entity
Organization
Contact information
Practice address
6101 REDWOOD SQUARE CTR, SUITE 202, CENTREVILLE, VA 20121
(703) 543-6660
(703) 995-0284
Mailing address
6101 REDWOOD SQUARE CTR, SUITE 202, CENTREVILLE, VA 20121-4265
(301) 642-5096
(703) 995-0284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
230525109
VA
Other
Enumeration date
01/07/2016
Last updated
08/02/2018
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