Organization
COACH HOUSE PHYSICIAL THERAPY&SPORTS MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BROCK PRICE MPT (PHYSICAL THERAPIST, OWNER)
(703) 221-3913
Entity
Organization
Contact information
Practice address
17453 RICHMOND HWY, DUMFRIES, VA 22026-2244
(703) 221-3913
(703) 221-3203
Mailing address
17453 RICHMOND HWY, DUMFRIES, VA 22026-2244
(703) 221-3913
(703) 221-3203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305103005
VA
Other
Enumeration date
10/27/2006
Last updated
08/03/2022
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