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
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