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Organization
REHABILITATION SERVICES OF DANVILLE
Active
Organization
REHABILITATION SERVICES OF DANVILLE
Active
Other names
Rehabilitation Services of Danville, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S LUCAS (MANAGING PARTNER)
(540) 772-8022
Entity
Organization
Contact information
Practice address
990 MAIN ST, SUITE 100, DANVILLE, VA 24541
(540) 772-8022
(540) 772-0294
Mailing address
PO BOX 8833, ROANOKE, VA 24014-0745
(540) 772-8022
(540) 772-0294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0105000005
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193529
ANTHEM BCBS
VA
05
—
4978269
—
VA
Enumeration date
12/05/2005
Last updated
07/15/2011
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