Organization
ORTHOCARE PHYSICAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRUTI AMBEGAONKAR PT, DPT (OWNER)
(703) 349-5324
Entity
Organization
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY STE 320, FAIRFAX, VA 22033-1907
(703) 349-5324
Mailing address
5290 JULE STAR DR, CENTREVILLE, VA 20120-3006
(703) 349-5324
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305205344
VA
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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