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Organization
PT PLUS AT OLD TRAIL, LLC
Active
Organization
PT PLUS AT OLD TRAIL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA COLEMAN PT (OWNER, SOLE MEMBER)
(434) 823-7628
Entity
Organization
Contact information
Practice address
330 CLAREMONT LN, SUITE 211, CROZET, VA 22932-3386
(434) 823-7628
Mailing address
804 AFTON MOUNTAIN RD, AFTON, VA 22920-2408
(540) 456-4677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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