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Organization

STAFFORD HEALTHCARE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IAN ANDREW PEUTERBAUGH LPTA (PHYSICAL THERAPIST ASSISTANT)
(703) 878-2250
Entity
Organization

Contact information

Practice address
5886 PICADILLY CT, WOODBRIDGE, VA 22193-3802
(703) 878-2250
Mailing address
5886 PICADILLY CT, WOODBRIDGE, VA 22193-3802
(703) 878-2250

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
23066003140
VA

Other

Enumeration date
08/18/2014
Last updated
08/18/2014
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