Individual
ERIC M MAGRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
515 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 244-2015
(434) 243-0320
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202438
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305202438
LICENSE #
VA
Enumeration date
08/29/2006
Last updated
08/14/2019
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