Organization
BRAIN INJURY SERVCIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA A. MELTZER (EXECUTIVE DIRECTOR)
(703) 451-8881
Entity
Organization
Contact information
Practice address
8136 OLD KEENE MILL RD, SUITE B102, SPRINGFIELD, VA 22152-1850
(703) 451-8881
(703) 451-8820
Mailing address
8136 OLD KEENE MILL RD, SUITE B102, SPRINGFIELD, VA 22152-1850
(703) 451-8881
(703) 451-8820
Taxonomy
Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
05/26/2015
Last updated
09/03/2024
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