Organization
BLUE RIDGE PHYSICAL THERAPY PC
Active
Organization
BLUE RIDGE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EDWARD MELCHIONE PT, MS (PRESIDENT PHYSICAL THERAPIST)
(540) 463-5888
Entity
Organization
Contact information
Practice address
25 CROSSING LN, SUITE 1, LEXINGTON, VA 24450-3724
(540) 463-5888
(540) 463-4406
Mailing address
25 CROSSING LN, SUITE 1, LEXINGTON, VA 24450-3724
(540) 463-5888
(540) 463-4406
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192512
ANTHEM PROVIDER NUMBER
VA
Enumeration date
11/21/2006
Last updated
10/29/2007
Update your record
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