Organization
CENTER FOR ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
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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