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Organization

CAPREHAB ASHBURN, LLC

Active
Other names
Capitol Rehab of Ashburn
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUKE CHARLES PIETRANTONE DC (OWNER)
(703) 726-9866
Entity
Organization

Contact information

Practice address
42882 TRURO PARISH DR, UNIT 207, BROADLANDS, VA 20148-4456
(703) 726-9866
(703) 726-9868
Mailing address
42882 TRURO PARISH DR, UNIT 207, BROADLANDS, VA 20148-4456
(703) 726-9866
(703) 726-9868

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556089
VA
225100000X
Physical Therapist
2305004524
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104556089
VA LICENSE
VA
Enumeration date
11/20/2006
Last updated
08/31/2010
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