Ace Physical Therapy & Sports Medicine Institute, LLC

NPI #1821033564 in Herndon, Virginia

Provider Information

NPI Number: 1821033564
Entity Type: Organization
Organization Name: Ace Physical Therapy & Sports Medicine Institute, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2006
Last Updated: Apr 14, 2015

Practice Location

Address: 108 ELDEN ST.
Address 2: SUITE 12
City: Herndon
State: Virginia
ZIP Code: 20170-4876
Phone: (703) 205-1233

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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