Organization
PR PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOLENE FAUGHT M.P.T. (OWNER, PHYSICAL THERAPIST)
(540) 446-4919
Entity
Organization
Contact information
Practice address
60 SUSA DR, SUITE 123, STAFFORD, VA 22554-9435
(540) 446-4919
Mailing address
60 SUSA DR STE 123, STAFFORD, VA 22554-9435
(540) 446-4919
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305205204
VA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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