Organization
MID-COUNTY PHYSICAL THERAPY LLC
Active
Organization
MID-COUNTY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SHERMAN MILLS III PT (OWNER/PHYSICAL THERAPIST)
(703) 763-3922
Entity
Organization
Contact information
Practice address
12581 MILSTEAD WAY, SUITE 201, WOODBRIDGE, VA 22192
(703) 763-3922
Mailing address
12581 MILSTEAD WAY, SUITE 201, WOODBRIDGE, VA 22192
(703) 763-3922
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305006481
VA
Other
Enumeration date
05/08/2009
Last updated
08/12/2010
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