Loudoun Sports Therapy Center, Llc

NPI 1003915000 - Specialist - 174400000X

NPI Details
NPI 1003915000
Enumeration Date 09/22/2006
Last Updated 11/07/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL J MICHAEL
Position OWNER / PRESIDENT
Phone (703) 450-4300
Fax (703) 450-5113
Practice Location
21251 RIDGETOP CIR
SUITE #140
STERLING VA, 20166-6644, US
Phone (703) 450-4300
Fax (703) 450-5113
Business Location
21251 RIDGETOP CIR
SUITE #140
STERLING VA, 20166-6644, US
Phone (703) 450-4300
Fax (703) 450-5113
Toxanomy
Taxonomy Code 174400000X
License State Virginia
License Number 2305-004555
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According to our database, Loudoun Sports Therapy Center, Llc NPI is 1003915000, taxonomy code is 174400000X and license number is 2305-004555, license state is located at Virginia. Loudoun Sports Therapy Center, Llc physically located at 21251 Ridgetop Cir, Sterling VA, 20166-6644. NPI Number 1033115704 has the healthcare provider type.

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1003915000 NPI number is provided on an as is basis without warranty of any kind. 1003915000 is maintained by the National Plan & Provider Enumeration System. The contents of Loudoun Sports Therapy Center, Llc are for informational purposes only.