Professional Sportscare & Rehab, LLC

NPI #1639624745 in Springfield, Virginia

Provider Information

NPI Number: 1639624745
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: 7223 COMMERCE ST
Address 2: STE 40
City: Springfield
State: Virginia
ZIP Code: 22150-3411
Phone: (703) 935-1999

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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