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Organization
PHYSICAL THERAPY CENTER OF CHESAPEAKE PLC
Active
Organization
PHYSICAL THERAPY CENTER OF CHESAPEAKE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHARLES LOUD JR. PT (PT OWNER)
(757) 420-2880
Entity
Organization
Contact information
Practice address
747 VOLVO PKWY, 103, CHASAPEAKE, VA 23320
(757) 420-2880
(757) 420-8090
Mailing address
747 VOLVO PKWY, 103, CHASAPEAKE, VA 23320
(757) 420-2880
(757) 420-8090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193561
HEALTH KEEPERS
—
01
—
2138099
FIRST HEALTH
—
01
—
3223253
AETNA
—
01
—
57767
OPTIMA SENTERA
—
01
—
615185
MAMSI OPTIMUM
—
01
—
6400296
UNITED HEALTH CARE
—
01
—
DE4722
RAILROAD MEDICARE
—
Enumeration date
10/17/2006
Last updated
01/08/2009
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