Organization
FAIRFAX PHYSICAL THERAPY, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH DAVID SCOTT PT (OWNER)
(703) 934-9411
Entity
Organization
Contact information
Practice address
10525 WEST DR, FAIRFAX, VA 22030-4230
(703) 934-9411
(703) 934-9497
Mailing address
10525 WEST DR, FAIRFAX, VA 22030-4230
(703) 934-9411
(703) 934-9497
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305002566
VA
2251X0800X
Orthopedic Physical Therapist
2305203253
VA
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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