Provider Demographics
NPI:1952629123
Name:BODIES IN MOTION PHYSICAL THERAPY III, LLC
Entity Type:Organization
Organization Name:BODIES IN MOTION PHYSICAL THERAPY III, LLC
Other - Org Name:BODIES IN MOTION PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:DOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-237-2000
Mailing Address - Street 1:4084 UNIVERSITY DR
Mailing Address - Street 2:#103
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6803
Mailing Address - Country:US
Mailing Address - Phone:703-896-9999
Mailing Address - Fax:703-896-9998
Practice Address - Street 1:4084 UNIVERSITY DR
Practice Address - Street 2:#103
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6803
Practice Address - Country:US
Practice Address - Phone:703-896-9999
Practice Address - Fax:703-896-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty