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9455 Lorton Market St, Suite 201, Lorton, VA 22079-1962 | |
(301) 540-6140 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 9455 Lorton Market St, Lorton, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1124405097 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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102 Irving St Nw, Attn: Mhpt Payor Enrollment, Washington, DC 20010-2949 Ph: (301) 540-6140 | 9455 Lorton Market St, Suite 201, Lorton, VA 22079-1962 Ph: (301) 540-6140 |