Organization
STAFFORD PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JOHN HORRICKS (OWNER)
(540) 659-6408
Entity
Organization
Contact information
Practice address
572 GARRISONVILLE RD, STAFFORD, VA 22554-3702
(540) 659-6408
(540) 659-6445
Mailing address
PO BOX 588, GARRISONVILLE, VA 22463-0588
(540) 659-6408
(540) 659-6445
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305003039
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902939689
MEDICARE CMS
VA
Enumeration date
07/02/2010
Last updated
07/13/2022
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