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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