Organization
RESURGENT SPORTS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYANNA GERBER (OFFICE MANAGER)
(703) 346-6517
Entity
Organization
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 100, FAIRFAX, VA 22031-2228
(703) 346-6517
Mailing address
2868 SUTTON OAKS LN, VIENNA, VA 22181-6146
(703) 346-6517
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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