Organization
STATERA RESTON LLC
Active
Organization
STATERA RESTON LLC
Active
Other names
Fyzical Therapy and Balance Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE LEPPERT (CEO)
(713) 409-3483
Entity
Organization
Contact information
Practice address
11410 RESTON STATION BLVD, RESTON, VA 20190-5363
(713) 409-3483
Mailing address
42020 VILLAGE CENTER PLZ STE 120, PMB 1046, STONE RIDGE, VA 20105-3030
(713) 409-3483
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
09/08/2022
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