Organization
EVOLVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN VERTUDES PT (CO-FOUNDER)
(571) 426-2704
Entity
Organization
Contact information
Practice address
16360 ADMEASURE CIR, WOODBRIDGE, VA 22191-6374
(571) 426-2704
(703) 763-2809
Mailing address
16360 ADMEASURE CIR, WOODBRIDGE, VA 22191-6374
(571) 426-2704
(703) 763-2809
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305204845
VA
261QP2000X
Physical Therapy Clinic/Center
2305207829
VA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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