Physical Restoration And Sports Medicine Llc | |
46304 Mcclellan Way, Sterling, VA 20165-7243 | |
(703) 444-8210 | |
(703) 444-8213 |
Full Name | Physical Restoration And Sports Medicine Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 46304 Mcclellan Way, Sterling, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114257383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Marc O Meadows |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114006384 PECOS PAC ID: 2264568344 Enrollment ID: I20100427000616 |
Mailing Address | Practice Location Address |
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Physical Restoration And Sports Medicine Llc 46304 Mcclellan Way, Sterling, VA 20165-7243 Ph: (703) 444-8210 | Physical Restoration And Sports Medicine Llc 46304 Mcclellan Way, Sterling, VA 20165-7243 Ph: (703) 444-8210 |
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