Professional Sportscare & Rehab, LLC
NPI #1548715642 in Alexandria, Virginia
Provider Information
- NPI Number
- 1548715642
- Entity Type
- Organization
- Organization Name
- Professional Sportscare & Rehab, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 18, 2016
- Last Updated
- Dec 6, 2024
Practice Location
- Address
- 4605 DUKE ST
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22304-2505
- Phone
- (703) 751-1052
Authorized Official
- Name
- TASHEDA BROUGHTON, PESC
- Title
- MANAGER, CREDENTIALING
- Phone
- (252) 248-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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