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Organization
LEBANON PHYSICAL THERAPY AND REHABILITATIVE SERVICES, LLC
Active
Organization
LEBANON PHYSICAL THERAPY AND REHABILITATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH EASTERLY LOCKRIDGE RPT (OWNER PHYSICAL THERAPIST)
(276) 889-4090
Entity
Organization
Contact information
Practice address
272 HIGHLAND DRIVE, LEBANON, VA 24266-4623
(276) 889-4090
(276) 889-4026
Mailing address
272 HIGHLAND DRIVE, P.O. BOX 1387, LEBANON, VA 24266-4623
(276) 889-4090
(276) 889-4026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
2305002098
VA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
2305002098
VA
Other
Enumeration date
01/24/2006
Last updated
08/23/2007
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