Organization
REHABILITATION MEDICINE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAO CONG TRUONG (EXECUTIVE DIRECTOR)
(540) 374-3164
Entity
Organization
Contact information
Practice address
2216 PRINCESS ANNE ST, SUITE 203, FREDERICKSBURG, VA 22401-3300
(540) 374-3164
(540) 899-1342
Mailing address
2216 PRINCESS ANNE ST, SUITE 203, FREDERICKSBURG, VA 22401-3300
(540) 374-3164
(540) 899-1342
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101228930
VA
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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