Nova Neuro Rehab Pllc
NPI #1518707322 in Alexandria, Virginia
Provider Information
- NPI Number
- 1518707322
- Entity Type
- Organization
- Organization Name
- Nova Neuro Rehab Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 29, 2024
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 400 MADISON ST APT 1406
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22314-1724
- Phone
- (901) 288-8063
Authorized Official
- Name
- CAMERON WAGGONER, PT, DPT, NCS
- Title
- OWNER/MANAGING MEMBER
- Phone
- (901) 288-8063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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