Organization
BLUE RIDGE REHABILITATION ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS YUTCHISHEN P.T. (VICE PRESIDENT)
(434) 973-5031
Entity
Organization
Contact information
Practice address
3008 B BERKMAR DRIVE, CHARLOTTESVILLE, VA 22901-1443
(434) 973-5031
(434) 973-0520
Mailing address
3008 B BERKMAR DRIVE, CHARLOTTESVILLE, VA 22901-1443
(434) 973-5031
(434) 973-0520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978056
—
VA
Enumeration date
07/06/2006
Last updated
05/19/2014
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