Leesburg Sports, Inc.

NPI #1174548473 in Lansdowne, Virginia

Provider Information

NPI Number
1174548473
Entity Type
Organization
Organization Name
Leesburg Sports, Inc.
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Jul 13, 2006
Last Updated
Oct 26, 2018

Practice Location

Address
19500 SANDRIDGE WAY
Address 2
SUITE 390, RIVERSIDE OFFICE PARK
ZIP Code
20176-3688
Phone
(703) 858-3100

Authorized Official

Name
MR. MICHAEL E TARVIN
Title
VICE PRESIDENT & SECRETARY
Phone
(717) 972-1100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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