Medi-Ssage Clinic of Northern Virginia

NPI #1013271360 in Warrenton, Virginia

Provider Information

NPI Number: 1013271360
Entity Type: Organization
Organization Name: Medi-Ssage Clinic of Northern Virginia
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Jul 2, 2012
Last Updated: Jul 2, 2012

Practice Location

Address: 20 S 2ND ST
City: Warrenton
State: Virginia
ZIP Code: 20186-3338
Phone: (540) 347-3369

Authorized Official

Name: MIRIAM LEE WHITE, LMT, MMP
Title: OWNER
Phone: (540) 347-3369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center	261Q00000X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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