Organization
SUMMIT PEDIATRIC REHAB OF NO. VA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VIOLA (BUSINESS MANAGER)
(240) 397-7003
Entity
Organization
Contact information
Practice address
2826 OLD LEE HWY, SUITE 200, FAIRFAX, VA 22031-4323
(877) 703-3448
(301) 668-7008
Mailing address
2730 PROSPERITY AVE STE B, FAIRFAX, VA 22031-4330
(703) 289-1435
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
10/08/2012
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