Organization
ALLIED THERAPY OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE T. BOTENS (CHIEF FINANCIAL OFFICER)
(804) 379-9265
Entity
Organization
Contact information
Practice address
6251 OLD DOMINION DR, MCLEAN, VA 22101-4827
(804) 379-9265
(804) 379-9269
Mailing address
1 PARKWEST CIR, SUITE 108, MIDLOTHIAN, VA 23114-5551
(804) 379-9265
(804) 379-9269
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
08/27/2007
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