Organization
CHARLOTTESVILLE REHABILITATION EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIC VAN BROCKLIN (OWNER)
(434) 971-8808
Entity
Organization
Contact information
Practice address
1717 ALLIED ST, CHARLOTTESVILLE, VA 22903-5320
(434) 971-8808
(434) 971-3754
Mailing address
1717 ALLIED ST, CHARLOTTESVILLE, VA 22903-5320
(434) 971-8808
(434) 971-3754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
82480
VA
Other
Enumeration date
09/20/2006
Last updated
03/26/2008
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