Professional Sportscare & Rehab, LLC

NPI #1194275057 in Sterling, Virginia

Provider Information

NPI Number: 1194275057
Entity Type: Organization
Organization Name: Professional Sportscare & Rehab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 4, 2016
Last Updated: Dec 6, 2024

Practice Location

Address: 21453 EPICERIE PLZ
Address 2: STE 100
City: Sterling
State: Virginia
ZIP Code: 20164-6647
Phone: (703) 662-8151

Authorized Official

Name: TASHEDA BROUGHTON, PESC
Title: MANAGER, CREDENTIALING
Phone: (252) 248-3313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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