Organization
BLUE SKYY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA S RICHTER (VICE PRESIDENT)
(703) 372-4445
Entity
Organization
Contact information
Practice address
43130 AMBERWOOD PLZ, SUITE 100, SOUTH RIDING, VA 20152-4105
(703) 372-4445
(703) 957-3365
Mailing address
43130 AMBERWOOD PLZ, SUITE 100, SOUTH RIDING, VA 20152-4105
(703) 372-4445
(703) 957-3365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208032
VA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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