Organization
PROFESSIONAL THERAPY SOLUTIONS LLC
Active
Other names
Professional Therapy Solutions - VA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR E. TILLES (MANAGER)
(410) 423-2980
Entity
Organization
Contact information
Practice address
512 HOUSTON ST, STAUNTON, VA 24401-3525
(540) 886-2335
(540) 886-0781
Mailing address
10420 LITTLE PATUXENT PKWY, SUITE 210, COLUMBIA, MD 21044-3533
(410) 423-2980
(443) 276-0382
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49-6707
MEDICARE PROVIDER NUMBER
VA
Enumeration date
05/17/2006
Last updated
07/25/2007
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