Organization
PRIME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA ELIZABETH ROTH PT, DPT (PHYSICAL THERAPIST/OWNER)
(815) 973-4189
Entity
Organization
Contact information
Practice address
7516 IRON BAR LN, GAINESVILLE, VA 20155-2999
(571) 261-9234
(757) 720-8323
Mailing address
7516 IRON BAR LN, GAINESVILLE, VA 20155-2999
(571) 261-9234
(757) 720-8323
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/15/2023
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