Organization
TOTAL REHAB ANF FITNESS CENTER
Active
Organization
TOTAL REHAB ANF FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANTE TYLER P.T (MGR OWNER)
(540) 891-4224
Entity
Organization
Contact information
Practice address
10007 JEFFERSON DAVIS HWY, 127, FREDERICKSBURG, VA 22407-9428
(540) 891-4224
(540) 891-4452
Mailing address
10007 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22407-9428
(540) 891-4224
(540) 891-4452
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1012540
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
579422693A
MEDICARE
VA
Enumeration date
08/10/2011
Last updated
08/10/2011
Update your record
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