Organization
NATIONAL SPORTS MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C JOHNSON (OWNER)
(703) 729-5010
Entity
Organization
Contact information
Practice address
19455 DEERFIELD AVE, SUITE 309, LANSDOWNE, VA 20176-8100
(703) 729-5010
(703) 729-5833
Mailing address
19455 DEERFIELD AVE, SUITE 309, LANSDOWNE, VA 20176-8100
(703) 729-5010
(703) 729-5833
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2306602067
VA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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