Organization
NOVA REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD MATHEW (DIRECTOR)
(703) 415-6037
Entity
Organization
Contact information
Practice address
19490 SANDRIDGE WAY, SUITE 170, LANSDOWNE, VA 20176-3465
(703) 723-4088
(703) 723-4564
Mailing address
19490 SANDRIDGE WAY, SUITE 170, LEESBURG, VA 20176-3465
(703) 415-6037
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305205535
VA
Other
Enumeration date
09/29/2010
Last updated
03/25/2016
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