Organization
RENEE PACKER PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization
RENEE PACKER PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE L PACKER-LOWE (OWNER/PHYSICAL THERAPIST)
(703) 489-6629
Entity
Organization
Contact information
Practice address
25620 WYNDHAM POINT CT, ALDIE, VA 20105-3184
(703) 489-6629
(703) 935-8710
Mailing address
25620 WYNDHAM POINT CT, ALDIE, VA 20105-3184
(703) 489-6629
(703) 935-8710
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305006016
VA
2251P0200X
Pediatric Physical Therapist
2305202955
VA
225XP0200X
Pediatric Occupational Therapist
0119004001
VA
Other
Enumeration date
06/08/2011
Last updated
01/23/2024
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