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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