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Organization

PRINCE WILLIAM COUNTY PARK AUTHORITY

Active
Parent organization
PRINCE WILLIAM COUNTY PARK AUTHORITY
Other names
Chinn Aquatics & Fitness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRINCE WILLIAM COUNTY PARK AUTHORITY
Authorized official
LESLIE STONE (FITNESS COORDINATOR)
(703) 730-1060
Entity
Organization

Contact information

Practice address
13025 CHINN PARK DR, PRINCE WILLIAM, VA 22192-5073
(703) 730-1060
(703) 730-1992
Mailing address
14420 BRISTOW RD, MANASSAS, VA 20112-3932
(703) 730-1060
(703) 730-1992

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
226300000X
Kinesiotherapist
Primary

Other

Enumeration date
03/24/2010
Last updated
03/24/2010
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