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Organization
SOUTHEASTERN PHYSICAL THERAPY, INC
Active
Organization
SOUTHEASTERN PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LOWELL HARTLINE MPT (PRESIDENT/OWNER)
(757) 467-1900
Entity
Organization
Contact information
Practice address
905 BATTLEFIELD BLVD N, SUITE 105, CHESAPEAKE, VA 23320-4875
(757) 410-3157
(757) 410-3861
Mailing address
5301 PROVIDENCE RD, SUITE 80, VIRGINIA BEACH, VA 23464-4128
(754) 467-1900
(757) 467-7900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/24/2007
Last updated
05/22/2015
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