Organization
CORE PHYSICAL THERAPY & REHAB., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WOOGI KIM (PRESIDENT)
(703) 395-1305
Entity
Organization
Contact information
Practice address
14153 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4225
(703) 865-6455
(703) 649-6455
Mailing address
14153 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4225
(703) 865-6455
(703) 649-6455
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
2305208494
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407284714
—
VA
Enumeration date
03/24/2016
Last updated
05/01/2025
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