Organization
ADVANCED KINETICS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA T GORDON PT (OWNER, PHYSICAL THERAPIST)
(703) 988-4664
Entity
Organization
Contact information
Practice address
510 W ANNANDALE RD, SUITE 202, FALLS CHURCH, VA 22046-4226
(703) 988-4664
(571) 295-7548
Mailing address
510 W ANNANDALE RD, SUITE 202, FALLS CHURCH, VA 22046-4226
(703) 988-4664
(571) 295-7548
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305203526
VA
Other
Enumeration date
02/13/2015
Last updated
01/28/2016
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