Organization
CENTRA HEALTH INC
Active
Other names
Physical and Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (SRVP/CFO)
(434) 947-4708
Entity
Organization
Contact information
Practice address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
(434) 947-3777
(434) 947-4763
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505-2496
(434) 947-3777
(434) 947-4763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
H1911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189955
ANTHEM
VA
01
—
189964
ANTHEM
VA
01
—
189975
ANTHEM
VA
01
—
189995
ANTHEM
VA
Enumeration date
09/20/2006
Last updated
08/22/2020
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