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Organization

ROBERTS PHYSICAL THERAPY & MASSAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAIGE HD ROBERTS LMT (DIRECTOR OF BUSINESS OPERATIONS)
(804) 747-0003
Entity
Organization

Contact information

Practice address
3900 GASKINS RD, RICHMOND, VA 23233-1414
(804) 747-0003
(804) 747-0043
Mailing address
3900 GASKINS RD, RICHMOND, VA 23233-1414
(804) 747-0003
(804) 747-0043

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2305203258
VA
174H00000X
Health Educator
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207RS0010X
Sports Medicine (Internal Medicine) Physician
2251X0800X
Orthopedic Physical Therapist
Primary
225700000X
Massage Therapist
261QM2500X
Medical Specialty Clinic/Center
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0702094
UNITED HEALTHCARE
VA
01
192519
ANTHEM
VA
01
283517
SOUTHERN HEALTH
VA
01
3695276
AETNA
VA
01
7126635
AETNA
VA
Enumeration date
08/01/2007
Last updated
04/29/2022
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