Organization
FOUNDATION FITNESS OF ANNANDALE
Active
Parent organization
FOUNDATION FITNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNDATION FITNESS LLC
Authorized official
MR. PATRICK STEPHEN BRESLEY CPT (OWNER)
(703) 586-5833
Entity
Organization
Contact information
Practice address
7232 COLUMBIA PIKE, ANNANDALE, VA 22003-3145
(703) 586-5833
Mailing address
7232 COLUMBIA PIKE, ANNANDALE, VA 22003-3145
(703) 586-5833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
255A2300X
VA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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