Athletic Edge Physical Therapy Pllc
NPI #1730040312 in Providence Forge, Virginia
Provider Information
- NPI Number
- 1730040312
- Entity Type
- Organization
- Organization Name
- Athletic Edge Physical Therapy Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Nov 21, 2025
- Last Updated
- Nov 21, 2025
Practice Location
- Address
- 5859 GINGER DR
- City
- Providence Forge
- State
- Virginia
- ZIP Code
- 23140-3585
- Phone
- (757) 634-9256
Authorized Official
- Name
- LOGAN EVANS
- Title
- OWNER
- Phone
- (757) 634-9256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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