Organization
CAWH REHABILITATION SERVICES
Active
Organization
CAWH REHABILITATION SERVICES
Active
Other names
CAWH Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LEIGH NEILY (ADMINISTRATIVE ASSISTANT)
(540) 552-3422
Entity
Organization
Contact information
Practice address
1901 S MAIN ST, SUITE 8, BLACKSBURG, VA 24060-6600
(540) 552-2294
(540) 552-2296
Mailing address
1901 S MAIN ST, SUITE 8, BLACKSBURG, VA 24060-6600
(540) 552-3422
(540) 552-2296
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007729125
AETNA
—
01
—
1649360686
NPI BILLING
NC
01
—
193615
ANTHEM
VA
01
—
193617
ANTHEM
VA
01
—
CG1301
MEDICARE RAILROAD
NC
01
—
DF0075
MEDICARE RAILROAD
VA
Enumeration date
07/30/2006
Last updated
08/28/2009
Update your record
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