| Orthovirginia, Inc. | |
|
1700 N Moore St Ste 1925 Arlington VA 22209-1916 | |
| (703) 558-4960 | |
| Not Available |
| Full Name | Orthovirginia, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1700 N Moore St Ste 1925, Arlington, Virginia |
| Authorized Official Name and Position | Nicole Proffitt (CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 8045332357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthovirginia, Inc. Po Box 715868 Philadelphia PA 19171-5868 Ph: (804) 915-1910 | Orthovirginia, Inc. 1700 N Moore St Ste 1925 Arlington VA 22209-1916 Ph: (703) 558-4960 |
| NPI Number | 1740701879 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740701879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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