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Organization
PROFESSIONAL REHAB ASSOCIATES, INC
Active
Organization
PROFESSIONAL REHAB ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN L STEWART MS PT (PRESIDENT)
(540) 639-5786
Entity
Organization
Contact information
Practice address
1200 TYLER AVE, RADFORD, VA 24141
(540) 639-5786
(540) 633-0787
Mailing address
1200 TYLER AVE, RADFORD, VA 24141
(540) 639-5786
(540) 633-0787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001727
VA
225100000X
Physical Therapist
2305001794
VA
225100000X
Physical Therapist
2305005543
VA
225X00000X
Occupational Therapist
119001896
VA
225X00000X
Occupational Therapist
119004079
VA
235Z00000X
Speech-Language Pathologist
2202000928
VA
235Z00000X
Speech-Language Pathologist
2202001771
VA
235Z00000X
Speech-Language Pathologist
2202002486
VA
235Z00000X
Speech-Language Pathologist
2202004624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978803
—
VA
Enumeration date
09/13/2006
Last updated
04/30/2021
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