Organization
ACE PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A ERCOLE PT (DIRECTOR/OWNER)
(703) 205-1233
Entity
Organization
Contact information
Practice address
108 ELDEN ST., SUITE 12, HERNDON, VA 20170-4876
(703) 205-1233
(703) 641-0189
Mailing address
2841 HARTLAND RD, SUITE 401B, FALLS CHURCH, VA 22043
(703) 205-1233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004004
VA
Other
Enumeration date
06/17/2006
Last updated
04/14/2015
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