Organization
GRACE IN MOTION, LLC
Active
Other names
Grace in Motion
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PETERSON (OWNER/MEMBER)
(703) 556-8998
Entity
Organization
Contact information
Practice address
8480 TYCO RD STE A, VIENNA, VA 22182-2247
(703) 556-8998
(703) 556-8999
Mailing address
8480 TYCO RD STE A, VIENNA, VA 22182-2247
(703) 556-8998
(703) 556-8999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
9000
VA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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