Organization
MISSING LINK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE HELETSI DPT, OCS (OWNER/ PHYSICAL THERAPIST)
(703) 858-5070
Entity
Organization
Contact information
Practice address
44933 GEORGE WASHINGTON BLVD, SUITE 165, ASHBURN, VA 20147-6300
(703) 858-5070
(703) 858-5904
Mailing address
44933 GEORGE WASHINGTON BLVD, SUITE 165, ASHBURN, VA 20147-6300
(703) 858-5070
(703) 858-5904
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305204989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780898023
INDIVIDUAL NPI NUMBER
VA
Enumeration date
05/26/2014
Last updated
08/25/2014
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