Organization
DYNAMIC THERAPEUTIC SERVICES OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FRANK (CEO)
(866) 380-6611
Entity
Organization
Contact information
Practice address
14 E CUSTIS AVE, ALEXANDRIA, VA 22301-1422
(866) 380-6611
(866) 695-0107
Mailing address
14 E CUSTIS AVE, ALEXANDRIA, VA 22301-1422
(866) 380-6611
(866) 695-0107
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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