| |
4040 Fairfax Dr Ste 120, Arlington, VA 22203-1613 | |
(703) 292-4060 | |
(703) 292-4066 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 4040 Fairfax Dr Ste 120, Arlington, 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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1376920249 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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102 Irving St Nw, Attn: Mhpt Payor Enrollment, Washington, DC 20010-2921 Ph: (301) 540-6140 | 4040 Fairfax Dr Ste 120, Arlington, VA 22203-1613 Ph: (703) 292-4060 |