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Organization

BACK TO LIFE REHAB, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN RICHMAN MPT (PRESIDENT)
(434) 385-4900
Entity
Organization

Contact information

Practice address
110 VISTA CENTRE DR, SUITE 8, FOREST, VA 24551-2600
(434) 385-4900
(434) 385-7100
Mailing address
103 MULLBURY PL, LYNCHBURG, VA 24502-5820
(434) 385-4900
(434) 385-7100

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006244
VA

Other

Enumeration date
01/09/2007
Last updated
08/22/2020
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