Organization
ELITE SPORTS REHABILITATION P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SAGLE (PHYSICIAN ADMINISTRATOR)
(571) 330-3165
Entity
Organization
Contact information
Practice address
1240 N PITT ST, ALEXANDRIA, VA 22314-5600
(703) 739-0456
(703) 739-0032
Mailing address
1240 N PITT ST, ALEXANDRIA, VA 22314-5600
(703) 739-0456
(703) 739-0032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204844
VA
Other
Enumeration date
03/27/2009
Last updated
06/05/2009
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