Organization
HAPPY TRIAD PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIE BUMATAY BRASHER DPT (OWNER)
(773) 766-6643
Entity
Organization
Contact information
Practice address
12731 MARBLESTONE DR STE 107, WOODBRIDGE, VA 22192-8334
(773) 766-6643
Mailing address
12883 EFFINGHAM CT, WOODBRIDGE, VA 22192-6466
(773) 766-6643
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
10/18/2023
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