Organization
ALLIANCE REHAB AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NALINA SRIKANTH (CREDENTIALING SPECIALIST)
(703) 239-3200
Entity
Organization
Contact information
Practice address
8316 ARLINGTON BLVD, #600, FAIRFAX, VA 22031-5207
(703) 205-1919
Mailing address
5252 LYNGATE CT, SUITE 203, BURKE, VA 22015-1672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305209399
STATE LICENSE NUMBER
VA
Enumeration date
05/18/2015
Last updated
05/18/2015
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