Provider Demographics
NPI:1578138582
Name:LET'S MOVE MOUNTAINS LLC
Entity Type:Organization
Organization Name:LET'S MOVE MOUNTAINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-670-0411
Mailing Address - Street 1:1742 SEAGULL CT APT 301
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-4338
Mailing Address - Country:US
Mailing Address - Phone:908-670-0411
Mailing Address - Fax:
Practice Address - Street 1:1742 SEAGULL CT APT 301
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-4338
Practice Address - Country:US
Practice Address - Phone:908-670-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy