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Organization

CENTREVILLE PHYSICAL THERAPY, PC

Active
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Organization

CENTREVILLE PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNE GRYSKI PT (OWNER)
(703) 222-5903
Entity
Organization

Contact information

Practice address
14631 LEE HWY, SUITE 310, CENTREVILLE, VA 20121-2112
(703) 222-5903
(703) 222-3765
Mailing address
14631 LEE HWY, SUITE 310, CENTREVILLE, VA 20121-2112
(703) 222-5903
(703) 222-3765

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ANTHEM
196835
VA
Enumeration date
06/07/2007
Last updated
06/24/2008
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