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Organization
VIRGINIA HEALTH REHABILITATION AGENCY, LLC
Active
Organization
VIRGINIA HEALTH REHABILITATION AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE L BOLDY (CFO)
(757) 599-7422
Entity
Organization
Contact information
Practice address
1101 WILLIAM STYRON SQ S, NEWPORT NEWS, VA 23606
(757) 594-0330
(757) 594-0332
Mailing address
240 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-0020
(757) 595-1946
(757) 596-3621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004981103
—
VA
01
—
190031
ANTHEM SPEECH THERAPY
VA
01
—
190034
ANTHEM PHYSICAL THERAPY
VA
01
—
190035
ANTHEM OCCUPATIONAL THERA
VA
Enumeration date
10/23/2006
Last updated
08/28/2020
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