Organization
MOVEMENT PERFORMANCE CENTER
Active
Organization
MOVEMENT PERFORMANCE CENTER
Active
Other names
Movement Performance Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M CANTELLO OTR/L, CCTP,CCBHP (PRESIDENT)
(571) 215-3172
Entity
Organization
Contact information
Practice address
7439 LINTON HALL RD, GAINESVILLE, VA 20155-2977
(571) 215-3172
(571) 386-2534
Mailing address
21816 CRESCENT PARK SQ STE 1816, BROADLANDS, VA 20148-4418
(571) 215-3172
(571) 386-2534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
Update your record
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