Organization
ALPHA BELMONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX CLIFTON GARDNER BS, MA, PHD (SPEECH LANGUAGE PATHOLOGIST)
(202) 739-1380
Entity
Organization
Contact information
Practice address
1107 BELLE VIEW BLVD APT B1, ALEXANDRIA, VA 22307-6629
(202) 739-1380
Mailing address
1107 BELLE VIEW BLVD APT B1, ALEXANDRIA, VA 22307-6629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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