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Organization
PREVENTATIVE PHYSICAL THERAPY PLLC
Active
Organization
PREVENTATIVE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WITT PT, DPT, OCS (PHYSICAL THERAPIST AND FOUNDER)
(804) 220-0106
Entity
Organization
Contact information
Practice address
1516 KOGER CENTER BLVD, NORTH CHESTERFIELD, VA 23235-4721
(802) 220-0106
Mailing address
1903 MILLSAP LN, NORTH CHESTERFIELD, VA 23235-3717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
07/05/2024
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