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Organization
THERAPY INNOVATIONS INC
Active
Organization
THERAPY INNOVATIONS INC
Active
Other names
1ST STEP REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN DOCKERY (INS. BILLING MANAGER)
(276) 386-2424
Entity
Organization
Contact information
Practice address
389 KANE STREET, GATE CITY, VA 24251
(276) 386-2424
(276) 386-2349
Mailing address
PO BOX 1807, GATE CITY, VA 24251
(276) 386-2424
(276) 386-2349
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979681
—
VA
Enumeration date
08/30/2006
Last updated
09/26/2016
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