Organization
SPINE AND SPORT REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN LE DC (PRESIDENT)
(703) 998-0600
Entity
Organization
Contact information
Practice address
4656D KING ST, ALEXANDRIA, VA 22302-1215
(703) 998-0600
(703) 998-0333
Mailing address
4656D KING ST, ALEXANDRIA, VA 22302-1215
(703) 998-0600
(703) 998-0333
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0104556081
VA
Other
Enumeration date
10/17/2007
Last updated
03/21/2013
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