College Sports Rehab

LBN: College Sports Rehab
College Sports Rehab is an health care organization with primary practice located at 1301 College Ave Goolrick Hall Athletic Training Room (Room 102), Fredericksburg VA 22401-5300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. College Sports Rehab can be contacted via phone (703) 314-9891, or through Holmes, Keiron Allen via phone (703) 314-9891.

Contact Information

Primary practice address
1301 College Ave Goolrick Hall Athletic Training Room (Room 102) Fredericksburg VA 22401-5300
Phone: (703) 314-9891
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Keiron Allen PT, DPT, SCS
Phone: (703) 314-9891

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 2305205379 Virginia
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 870876 District of Columbia

Profile Details

NPI number 1376807065
LBN Legal business name College Sports Rehab
DBA Doing business as
Authorized official Holmes, Keiron Allen PT, DPT, SCS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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