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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
MR. JEFFREU LOWELL HARTLINE MPT (PRESIDENT/OWNER)
(757) 467-1900
Entity
Organization
Contact information
Practice address
13190 JAMES MADISON HWY, ORANGE, VA 22960-2808
(540) 672-2708
(540) 672-2709
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
11/14/2007
Last updated
05/22/2015
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