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Organization
MARTINSVILLE PHYSICAL THERAPY & INDUSTRIAL REHABILITATION INC
Active
Organization
MARTINSVILLE PHYSICAL THERAPY & INDUSTRIAL REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY DIRE MATHENA (PRESIDENT)
(434) 836-4158
Entity
Organization
Contact information
Practice address
812 E. CHURCH STREET, MARTINSVILLE, VA 24112
(276) 638-4809
(276) 638-5139
Mailing address
PO BOX 4018, DANVILLE, VA 24540
(434) 836-4158
(434) 836-0250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23005523
VA
225100000X
Physical Therapist
2305005523
VA
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978790
—
VA
Enumeration date
03/28/2006
Last updated
01/25/2012
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