Provider Demographics
NPI:1659901056
Name:ABSOLUTE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ABSOLUTE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-725-4972
Mailing Address - Street 1:1805 N QUESADA ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-2033
Mailing Address - Country:US
Mailing Address - Phone:703-725-4972
Mailing Address - Fax:
Practice Address - Street 1:1805 N QUESADA ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-2033
Practice Address - Country:US
Practice Address - Phone:703-725-4972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy