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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