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Organization

LOUDOUN SPORTS THERAPY CENTER, LLC

Active
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Organization

LOUDOUN SPORTS THERAPY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J BILLS MSPT (OWNER / PRESIDENT)
(703) 450-4300
Entity
Organization

Contact information

Practice address
21355 RIDGETOP CIR STE 310, STERLING, VA 20166-8500
(703) 450-4300
(703) 450-5113
Mailing address
21355 RIDGETOP CIR STE 310, STERLING, VA 20166-8500
(703) 450-4300
(703) 450-5113

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010114691
VA
01
1062039
AETNA HMO
VA
01
196253
ANTHEM
VA
01
2139421
MAMSI
VA
01
515034
AETNA PPO
VA
01
5866197
CIGNA
VA
01
K049
CAREFIRST
VA
Enumeration date
09/22/2006
Last updated
07/28/2025
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