Organization Name: | PT DOC, LLC |
NPI Number: | 1891036430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT HOPSON (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 35161 Greyfriar Dr Round Hill |
State: | VA US |
Postal Code: | 201412397 |
Phone Number: | 7039438776 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 2305206706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |