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Organization

SPORTS PT LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN SYKES DPT (DOCTOR OF PHYSICAL THERAPY)
(703) 402-3541
Entity
Organization

Contact information

Practice address
350 S WASHINGTON ST, FALLS CHURCH, VA 22046-4400
(703) 402-3541
Mailing address
7371 ATLAS WALK WAY # 170, GAINESVILLE, VA 20155-2992
(703) 402-3541

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305207515
VA

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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