Organization
ATLANTIC SPORTS & REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK TULENKO PT (DIRECTOR)
(434) 978-4915
Entity
Organization
Contact information
Practice address
1410 INCARNATION DRIVE, STE 101, CHARLOTTESVILLE, VA 22901
(434) 978-4915
(434) 978-7194
Mailing address
1410 INCARNATION DRIVE, STE 101, CHARLOTTESVILLE, VA 22901
(434) 978-4915
(434) 978-7194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
VA
225X00000X
Occupational Therapist
Primary
0119004444
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004980328
—
VA
Enumeration date
03/19/2007
Last updated
05/29/2008
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