# COMMONWEALTH PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONWEALTH PRIMARY CARE
- **Other names:** CPC Rehabilitation Division
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831242353
- **Legal business name:** COMMONWEALTH PRIMARY CARE
- **Authorized official:** MS. CHERYL DANIEL (BILLING MANAGER)
- **Authorized official phone:** (804) 288-0399

## Contact information

- **Practice address:** 4050 INNSLAKE DR STE 308, GLEN ALLEN, VA 23060
- **Practice address phone:** (804) 521-5310
- **Practice address fax:** (804) 521-5312
- **Mailing address:** 8002 DISCOVERY DR STE 410, RICHMOND, VA 23229
- **Mailing address phone:** (804) 288-0399
- **Mailing address fax:** (804) 288-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 12/18/2007