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NPI Code Detail

MEDICARE: VIRGINIAN PHYSICAL THERAPY &STAFFING, LLC

MEDICARE: VIRGINIAN PHYSICAL THERAPY &STAFFING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center2305205266VA

General Provider Information

NPI Number : 1205370020
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIAN PHYSICAL THERAPY &STAFFING, LLC
Provider Business Mailing Address
First Line : 20 PIDGEON HILL DR
Second Line :
City : STERLING
State : VA
Zip : 20165-6154
Country : US
Telephone Number : 202-870-4996
Fax Number :
Provider Business Practice Location Address
First Line : 20 PIDGEON HILL DR
Second Line : SUITE 103
City : STERLING
State : VA
Zip : 20165-6134
Country : US
Telephone Number : 202-870-4996
Fax Number :
Authorized Official
Title or Position : DOCTOR OF PHYSICAL THERAPY
Name : ALIYAT YIMAM
Credential : DPT
Telephone Number : 202-870-4996
Provider Enumeration Date : 12/13/2016
Last Update Date : 06/03/2024

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Directions to “VIRGINIAN PHYSICAL THERAPY &STAFFING, LLC ” Practice Location

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