Organization
COMP RX PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH PT, DPT (OWNER)
(703) 562-0065
Entity
Organization
Contact information
Practice address
4100 LAFAYETTE CENTER DR STE 114, CHANTILLY, VA 20151-1234
(703) 562-0065
Mailing address
13437 COMPTON RD, CLIFTON, VA 20124-1202
(703) 209-8775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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