Nova Rehab Corp | |
4304 Evergreen Ln Ste 102, Annandale, VA 22003-3216 | |
(703) 256-7979 | |
(703) 256-7770 |
Full Name | Nova Rehab Corp |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4304 Evergreen Ln Ste 102, Annandale, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114150919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kyung Han Kim |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831210335 PECOS PAC ID: 5799823209 Enrollment ID: I20091103000435 |
Provider Name | Timothy Yun |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568717007 PECOS PAC ID: 1456508035 Enrollment ID: I20131220000808 |
Provider Name | Brian Woogi Kim |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407284714 PECOS PAC ID: 3870723554 Enrollment ID: I20140225000224 |
Mailing Address | Practice Location Address |
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Nova Rehab Corp 4304 Evergreen Ln, #102, Annandale, VA 22003 Ph: (703) 256-7979 | Nova Rehab Corp 4304 Evergreen Ln Ste 102, Annandale, VA 22003-3216 Ph: (703) 256-7979 |
Minkyeong Son, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7010 Little River Tpke Ste 335, Annandale, VA 22003 Phone: 703-827-3488 Fax: 703-827-3499 | |
Dr. Jessica Ruth Sorano, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3299 Woodburn Rd Ste 310, Annandale, VA 22003 Phone: 703-849-8142 Fax: 703-849-0735 | |
Valerie Bellido-perez, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3712 Linda Ln, Annandale, VA 22003 Phone: 866-839-6979 | |
Diana Diep, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3299 Woodburn Rd Ste 480, Annandale, VA 22003 Phone: 703-892-6500 Fax: 703-521-3415 | |
Alissa Jean Wetmore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3299 Woodburn Rd, Suite 180, Annandale, VA 22003 Phone: 703-849-8142 Fax: 703-849-0735 | |
Dr. Akram Elzend, PT, DPT, MBA&M Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5101c Backlick Rd, Annandale, VA 22003 Phone: 703-225-9477 | |
Danielle A Rose, PT, DPT, DIPL OM Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8207 Woodland Ave, Annandale, VA 22003 Phone: 703-440-7423 |