Organization
INFINITY PERFORMANCE PT PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN BANTON PT (CEO)
(703) 967-8474
Entity
Organization
Contact information
Practice address
19775 BELMONT EXECUTIVE PLZ STE 125, ASHBURN, VA 20147-7606
(571) 498-7752
Mailing address
19775 BELMONT EXECUTIVE PLZ STE 125, ASHBURN, VA 20147-7606
(703) 967-8474
(571) 417-7948
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
11/21/2023
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