Organization
WOODROW WILSON REHBABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SIZEMORE (DIRECTOR)
(540) 332-7162
Entity
Organization
Contact information
Practice address
243 WOODROW WILSON AVE, FISHERSVILLE, VA 22939
(540) 332-7087
Mailing address
PO BOX 1500, BOX W1, FISHERSVILLE, VA 22939-1500
(540) 332-7087
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004980107
—
VA
01
—
192958
ANTHEM OT PROVIDER #
VA
Enumeration date
09/20/2006
Last updated
07/02/2008
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