Professional Sportscare & Rehab, LLC

NPI #1619479383 in Chantilly, Virginia

Provider Information

NPI Number
1619479383
Entity Type
Organization
Organization Name
Professional Sportscare & Rehab, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 8, 2018
Last Updated
Dec 6, 2024

Practice Location

Address
25370 EASTERN MARKETPLACE PLZ
ZIP Code
20152-1426
Phone
(571) 348-1201

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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