Organization
ALLIANCE REHABILITATION, LLC
Active
Other names
Alliance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRAY (CFO)
(410) 553-9686
Entity
Organization
Contact information
Practice address
102 ELDEN ST STE 12, HERNDON, VA 20170-4839
(703) 581-8999
(703) 481-0396
Mailing address
PO BOX 744113, ATLANTA, GA 30384-4113
(703) 239-2300
(703) 239-2301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K949
CAREFIRST
—
Enumeration date
05/15/2007
Last updated
05/21/2024
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