Organization
STATE OF THE ART REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASON ROGER PARTHASARATHY M.D. (MEDICAL DIRECTOR)
(703) 385-3333
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD, SUITE 202, FAIRFAX, VA 22030-5017
(703) 385-3333
(703) 385-3844
Mailing address
11166 FAIRFAX BLVD, SUITE 202, FAIRFAX, VA 22030-5017
(703) 385-3333
(703) 385-3844
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
10/25/2007
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