Organization
NOVA INTEGRATIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN STARACE (OWNER/PHYSICAL THERAPIST)
(732) 687-3497
Entity
Organization
Contact information
Practice address
2003 BARKHAM LN, VIENNA, VA 22182-5002
(732) 687-3497
Mailing address
2003 BARKHAM LN, VIENNA, VA 22182-5002
(732) 687-3497
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305206813
VA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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