Organization
BACK TO BASICS FAMILY PHYSICAL THERAPY PC
Active
Organization
BACK TO BASICS FAMILY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M FORD (BUSINESS MANAGER)
(540) 985-0500
Entity
Organization
Contact information
Practice address
7768 WILLIAMSON RD, ROANOKE, VA 24019-4343
(540) 985-0500
(540) 985-0529
Mailing address
7768 WILLIAMSON RD, ROANOKE, VA 24019-4343
(540) 985-0500
(540) 985-0529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305004995
VA
Other
Enumeration date
06/10/2006
Last updated
01/12/2026
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