| Organization Name: | COACH HOUSE PHYSICIAL THERAPY&SPORTS MEDICINE CENTER, LLC |
| NPI Number: | 1801971601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD BROCK PRICE (PHYSICAL THERAPIST, OWNER) |
| Mailing Address: | 17453 Jefferson Davis Hwy Dumfries |
| State: | VA US |
| Postal Code: | 220262244 |
| Phone Number: | 7032213913 |
| Fax Number: | 7032213203 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305103005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |