Organization
COLONIAL ORTHOPAEDICS, INC
Active
Other names
Colonial Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DEE DEE ALVIS (OPERATIONS MANAGER)
(804) 571-5132
Entity
Organization
Contact information
Practice address
131 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4905
(804) 526-5888
(804) 526-5401
Mailing address
13000 RIVERS BEND BLVD STE D, CHESTER, VA 23836-8632
(804) 571-5000
(804) 518-1314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
0119000261
VA
261QP2000X
Physical Therapy Clinic/Center
Primary
2305005628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002763
OPTIMA PT
VA
01
—
182898
SOUTHERN HEALTH PT OT
VA
01
—
194507
ANTHEM PT
VA
01
—
194508
ANTHEM OT
VA
01
—
5654515
FIRST HEALTH MAILHANDLERS
VA
Enumeration date
03/09/2007
Last updated
02/19/2014
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