Organization
ALLIANCE REHABILITATION, LLC
Active
Other names
ALLIANCE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
NALINA SRIKANTH (CREDENTIALING MANAGER)
(703) 239-2300
Entity
Organization
Contact information
Practice address
2616 SHERWOOD HALL LN, STE 104, ALEXANDRIA, VA 22306-3154
(703) 704-5771
(703) 704-5774
Mailing address
PO BOX 1822, MERRIFIELD, VA 22116-8022
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K949
CAREFIRST
VA
Enumeration date
01/13/2009
Last updated
09/23/2015
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