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Organization

PHYSICAL THERAPY AT ACAC

Active
Parent organization
PHYSICAL THERAPY AT ACAC LLC
Other names
Physical Therapy at ACAC Hand Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYSICAL THERAPY AT ACAC LLC
Authorized official
KIMBERELY STARR PT (EXECUTIVE DIRECTOR)
(434) 817-7848
Entity
Organization

Contact information

Practice address
410 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901
(434) 817-4278
(434) 817-4279
Mailing address
PO BOX 1583, CHARLOTTESVILLE, VA 22902-1583
(434) 982-7794
(434) 982-7752

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197260
ANTHEM SERVICES
VA
01
205318001
DEPT OF LABOR
VA
01
239853
SOUTHERN HEALTH
VA
01
3155448
UNITED HEALTHCAR MAMSI
VA
01
75273
COMMUNITY HEALTH
VA
Enumeration date
10/02/2006
Last updated
09/23/2008
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