Organization
AVANT INNOVATIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUPRIYA VARMA MD (FOUNDER)
(703) 628-0129
Entity
Organization
Contact information
Practice address
10501 MILKWEED DR, GREAT FALLS, VA 22066-3310
(703) 628-0129
Mailing address
10501 MILKWEED DR, GREAT FALLS, VA 22066-3310
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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