Organization
CENTER FOR ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BURNETT (OWNER)
(571) 223-7686
Entity
Organization
Contact information
Practice address
21785 FILIGREE CT, SUITE 102, ASHBURN, VA 20147-6213
(517) 223-7686
(571) 291-3165
Mailing address
21785 FILIGREE CT, SUITE 102, ASHBURN, VA 20147-6213
(517) 223-7686
(571) 291-3165
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305006615
VA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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