Individual
BALACHANDRAN DHAMODARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206418
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235456914
—
VA
Enumeration date
04/21/2010
Last updated
04/09/2018
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