Organization
LIBERTY SPORTS & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CHANCE (PRACTICE ADMINISTRATOR)
(540) 656-2786
Entity
Organization
Contact information
Practice address
501 PARK HILL DR, FREDERICKSBURG, VA 22401-3377
(540) 656-2786
Mailing address
501 PARK HILL DR, FREDERICKSBURG, VA 22401-3377
(540) 372-6745
(540) 735-0138
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
03/24/2022
Last updated
11/03/2022
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