Organization
KINETA REHAB SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE C JEFFERSON LPTA (OWNER)
(703) 587-1907
Entity
Organization
Contact information
Practice address
53 S GORDON ST, ALEXANDRIA, VA 22304-4929
(703) 587-1907
(571) 970-6125
Mailing address
53 S GORDON ST, ALEXANDRIA, VA 22304-4929
(703) 587-1907
(571) 970-6125
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0119003001
VA
171W00000X
Contractor
2306601555
VA
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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