Organization
FREESPIRIT REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAB RAGAB RIZK PTA (OWNER)
(703) 963-0443
Entity
Organization
Contact information
Practice address
6639 HALTWHISTLE LN, ALEXANDRIA, VA 22315-2660
(703) 963-0443
(703) 924-0892
Mailing address
PO BOX 10293, ALEXANDRIA, VA 22310-0293
(703) 963-0443
(703) 924-0892
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2306601390
VA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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