Organization
VIRGINIA PAIN & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RYAN (OWNER)
(405) 926-7926
Entity
Organization
Contact information
Practice address
5130 WILSON BLVD, 2ND FLOOR, ARLINGTON, VA 22205-1169
(703) 247-9799
Mailing address
5130 WILSON BLVD, 2ND FLOOR, ARLINGTON, VA 22205-1169
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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