Organization
ORTHOPAEDIC CENTER OF THE VIRGINIAS PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LEE PERSINGER LOVERN PT OCS (OWNER PRES)
(304) 425-9857
Entity
Organization
Contact information
Practice address
311 COURTHOUSE RD, SUITE #3, PRINCETON, WV 24740-2421
(304) 425-9857
(304) 487-3152
Mailing address
311 COURTHOUSE RD, SUITE #3, PRINCETON, WV 24740-2421
(304) 425-9857
(304) 487-3152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721163
BCBS
WV
05
—
0156090000
—
WV
01
—
072404
ANTHEM
—
01
—
1405075
UMWA
—
01
—
151508800
US DEPT OF LABOR
—
01
—
270675
MAMSI
—
01
—
4502834
AETNA
—
Enumeration date
11/27/2006
Last updated
10/25/2007
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