Organization
INOVA PHYSICAL REHABILITATION SERVICES
Active
Organization
INOVA PHYSICAL REHABILITATION SERVICES
Active
Other names
INOVA PHYSICAL THERAPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE RICHE PT (EXECUTIVE DIRECTOR)
(703) 279-4307
Entity
Organization
Contact information
Practice address
2990 TELESTAR CT, 3RD FLOOR, FALLS CHURCH, VA 22042-1207
(571) 423-5742
(571) 423-5775
Mailing address
2990 TELESTAR CT, SUITE 3PT, FALLS CHURCH, VA 22042-1207
(571) 423-5742
(571) 423-5775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979753
—
VA
05
—
004979915
—
VA
05
—
004980875
—
VA
05
—
004980905
—
VA
05
—
004980913
—
VA
05
—
004980921
—
VA
05
—
010105064
—
VA
05
—
010274630
—
VA
Enumeration date
11/01/2006
Last updated
11/30/2010
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