Organization
ADVANCED PT AND REHABILITATION INC
Active
Organization
ADVANCED PT AND REHABILITATION INC
Active
Other names
Haymarket Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY D MORIARTY DC (OWNER)
(703) 675-7179
Entity
Organization
Contact information
Practice address
14535 JOHN MARSHALL HIGHWAY, SUITE 102, GAINESVILLE, VA 20155
(703) 753-0974
(703) 753-9709
Mailing address
14535 JOHN MARSHALL HWY STE 104, GAINESVILLE, VA 20155-4024
(703) 753-0974
(703) 753-9709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004656
VA
225100000X
Physical Therapist
2305202666
VA
225X00000X
Occupational Therapist
0119003997
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295717726
NPI
VA
Enumeration date
11/18/2005
Last updated
06/16/2020
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