Organization
ADVANCED PT AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONIA KELLY (DIRECTOR)
(703) 868-1691
Entity
Organization
Contact information
Practice address
504 ELDEN ST, SUITE 2, HERNDON, VA 20170-4741
(703) 868-1691
Mailing address
PO BOX 882, MERRIFIELD, VA 22116-2882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203347
VA
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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