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Organization

ALPHA BELLMONT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REX GARDNER PHD (MANAGING PARTNER)
(202) 739-1380
Entity
Organization

Contact information

Practice address
6205 TELEGRAPH RD, ALEXANDRIA, VA 22310-2970
(202) 739-1380
Mailing address
6205 TELEGRAPH RD, ALEXANDRIA, VA 22310-2970

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005377
VA

Other

Enumeration date
06/11/2014
Last updated
06/11/2014
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