Healthcare Provider Details

I. General information

NPI: 1861535791
Provider Name (Legal Business Name): FREDERICKSBURG ORTHOPAEDIC ASSOC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 FALL HILL AVENUE
FREDERICKSBURG VA
22401
US

IV. Provider business mailing address

3310 FALL HILL AVENUE
FREDERICKSBURG VA
22401
US

V. Phone/Fax

Practice location:
  • Phone: 540-786-2430
  • Fax: 540-371-3487
Mailing address:
  • Phone: 540-786-2430
  • Fax: 540-371-3487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT F DEBLASI
Title or Position: PRESIDENT
Credential: MD
Phone: 540-373-4602