Organization
MOBILE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PAUL LAWSON PT MS OCS (PRESIDENT)
(804) 726-2340
Entity
Organization
Contact information
Practice address
3604 MILBRANCH PL, RICHMOND, VA 23233-7634
(804) 726-2340
(804) 726-2341
Mailing address
3604 MILBRANCH PL, RICHMOND, VA 23233-7634
(804) 726-2340
(804) 726-2341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305202101
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305202101
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105429
ANTHEM BCBS
—
Enumeration date
07/19/2005
Last updated
09/11/2025
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