NPI 1114184850

Pr Physical Therapy, LLC

Organisation Physical Therapy Clinic/Center Stafford, VA

Practice location

Address: 60 Susa Dr Suite 123, Stafford, VA 22554-9435
Phone: (540) 446-4919
Mailing address: 60 Susa Dr STE 123, Stafford, VA 22554-9435

Authorised official

Name: Jolene Faught
Title: Owner, Physical Therapist
Phone: (540) 446-4919

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 2305205204 (VA)

Other Clinic/Center providers in Virginia →

Registry record

NPI: 1114184850
Entity type: Organization
NPI issued: 20 May 2008
Record last updated: 20 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.