Provider Demographics
NPI:1609211036
Name:FITNESS AND REHABILITATION, INC.
Entity Type:Organization
Organization Name:FITNESS AND REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:OANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALASA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PPDPT
Authorized Official - Phone:703-340-9341
Mailing Address - Street 1:10400 EATON PL
Mailing Address - Street 2:SUITE 312
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2208
Mailing Address - Country:US
Mailing Address - Phone:703-340-9341
Mailing Address - Fax:703-242-7745
Practice Address - Street 1:10400 EATON PL
Practice Address - Street 2:SUITE 312
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2208
Practice Address - Country:US
Practice Address - Phone:703-340-9341
Practice Address - Fax:703-242-7745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005634261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy