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Organization
PEDIATRIC THERAPY PARTNERS OF NOVA, LLC
Active
Organization
PEDIATRIC THERAPY PARTNERS OF NOVA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSY BOOHER (MS, PT)
(571) 212-6145
Entity
Organization
Contact information
Practice address
3623 TUPELO PL, ALEXANDRIA, VA 22304-1844
(571) 212-6145
(888) 750-4126
Mailing address
3623 TUPELO PL, ALEXANDRIA, VA 22304-1844
(571) 212-6145
(888) 750-4126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204619
VA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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