Organization
RESTORE PT & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A HORTON PT (OWNER)
(703) 402-8536
Entity
Organization
Contact information
Practice address
44927 GEORGE WASHINGTON BLVD, SUITE 210, ASHBURN, VA 20147-4295
(571) 291-9936
(571) 918-4935
Mailing address
44927 GEORGE WASHINGTON BLVD, SUITE 210, ASHBURN, VA 20147-4295
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305203754
VA
Other
Enumeration date
01/22/2013
Last updated
09/11/2013
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