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Organization
SOUTHEASTERN PHYSICAL THERAPY, INC
Active
Organization
SOUTHEASTERN PHYSICAL THERAPY, INC
Active
Other names
Spectrum Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF LOWELL HARTLINE MPT (PRESIDENT/OWNER)
(757) 467-1900
Entity
Organization
Contact information
Practice address
100 CROFTON PL, LAKE MONTICELLO, PALMYRA, VA 22963-3300
(434) 589-9588
(434) 589-4096
Mailing address
5301 PROVIDENCE RD, SUITE 80, VIRGINIA BEACH, VA 23464-4128
(757) 467-1900
(757) 467-7900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
05/22/2015
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