Revive Rehab Plus LLC

NPI #1154192474 in Chantilly, Virginia

Provider Information

NPI Number
1154192474
Entity Type
Organization
Organization Name
Revive Rehab Plus LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jan 15, 2024
Last Updated
Jan 15, 2024

Practice Location

Address
25017 WHITE SANDS DR
ZIP Code
20152-4153
Phone
(619) 203-9674

Authorized Official

Name
KAVYA REDDY PUNURU, PT
Title
MANAGING MEMBER
Phone
(619) 203-9674

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist

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