# PAIN CENTER OF VIRGINIA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pain Center of Maryland, Meridian Physical Therapy, The Pain Center of West Virginia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396235099
- **Authorized official:** AMANDA LARRICK (PRACTICE COORDINATOR)
- **Authorized official phone:** (304) 263-6165

## Contact information

- **Practice address:** 1839 WEST PLAZA DR, WINCHESTER, VA 22601-6365
- **Practice address phone:** (304) 263-6165
- **Practice address fax:** (540) 486-4166
- **Mailing address:** 1839 PLAZA DR, WINCHESTER, VA 22601-6365
- **Mailing address phone:** (304) 263-6165

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 02/25/2021