Organization
ALEXANDRIA SPORTS, INC.
Active
Other names
Patriot Sportsmedicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER)
(469) 467-8705
Entity
Organization
Contact information
Practice address
8000 WESTPARK DR, SUITE 150, MC LEAN, VA 22102-3114
(703) 556-8477
(703) 556-8486
Mailing address
PO BOX 1245, INDIANA, PA 15701-5245
(724) 465-3496
(215) 413-4682
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
02/25/2013
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