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
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