# COMMONWEALTH PRIMARY CARE

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

## Provider details

- **NPI number:** 1356532634
- **Authorized official:** MS. CHERYL DANIEL (BILLING ADMINISTRATOR)
- **Authorized official phone:** (804) 288-0399

## Contact information

- **Practice address:** 9930 INDEPENDENCE PARK DR, SUITE 101, RICHMOND, VA 23233-1476
- **Practice address phone:** (804) 726-2600
- **Mailing address:** 8002 DISCOVERY DR, SUITE 410, RICHMOND, VA 23229-8601
- **Mailing address phone:** (804) 288-0399
- **Mailing address fax:** (804) 285-0088

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 11/28/2007