# GREENBRIER VALLEY PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New River Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104413756
- **Authorized official:** AMANDA STREETER (VICE PRESIDENT)
- **Authorized official phone:** (800) 699-9395

## Contact information

- **Practice address:** 514 BECKLEY CROSSING SHPG CTR, BECKLEY, WV 25801-7110
- **Practice address phone:** (304) 250-0428
- **Practice address fax:** (304) 252-0243
- **Mailing address:** 484 RIVERSIDE AVE, JACKSONVILLE, FL 32202-4912
- **Mailing address phone:** (800) 699-9395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2020
- **Last updated:** 11/18/2023