Organization
VIRGINIA HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ROTH (COO)
(301) 777-2000
Entity
Organization
Contact information
Practice address
10432 BALLS FORD RD STE 300, MANASSAS, VA 20109-2517
(301) 777-2000
(301) 241-0124
Mailing address
12501 PROSPERITY DR STE 430, SILVER SPRING, MD 20904-1652
(301) 777-2000
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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