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
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