Organization
LITTLE RIVER PHYSICAL THERAPY LLC
Active
Organization
LITTLE RIVER PHYSICAL THERAPY LLC
Active
Other names
Little River Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE FISHER PT (PHYSICAL THERAPIST)
(571) 276-9337
Entity
Organization
Contact information
Practice address
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003-3256
(571) 276-9337
(571) 234-6232
Mailing address
6321 OAK RIDGE DR, ALEXANDRIA, VA 22312-1237
(571) 276-9337
(571) 234-6232
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
05/01/2020
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