Organization
ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A ERCOLE MSPT, CSCS, CSFA (INSTITUTE DIRECTOR)
(703) 205-1233
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY STE 101, FAIRFAX, VA 22033-3310
(703) 205-1233
(703) 641-0189
Mailing address
2841 HARTLAND RD STE 401B, FALLS CHURCH, VA 22043-3500
(703) 205-1233
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0856150
VA
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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