Ace Physical Therapy & Sports Medicine Institute, LLC

NPI #1588960249 in Herndon, Virginia

Provider Information

NPI Number: 1588960249
Entity Type: Organization
Organization Name: Ace Physical Therapy & Sports Medicine Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 28, 2011
Last Updated: Aug 28, 2012

Practice Location

Address: 131 ELDEN ST STE 308
City: Herndon
State: Virginia
ZIP Code: 20170-4851
Phone: (703) 205-1233

Authorized Official

Name: MICHAEL A ERCOLE, PT
Title: INSTITUTE DIRECTOR
Phone: (703) 205-1233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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