Organization
SHORELINE REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ARNOLD OSWALT JR. P.T.A. (PARTNER)
(757) 678-3375
Entity
Organization
Contact information
Practice address
17405 LANKFORD HIGHWAY, NELSONIA, VA 23414
(757) 678-3375
Mailing address
PO BOX 21, MARIONVILLE, VA 23408-0021
(757) 678-3375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602072
VA
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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