Organization
FORGE PERFORMANCE RX
Active
Organization
FORGE PERFORMANCE RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD HENRY BLOMQUIST DPT (PHYSICAL THERAPY)
(302) 273-1173
Entity
Organization
Contact information
Practice address
4812 KYLOE LN, MOSELEY, VA 23120-1242
(804) 372-5679
Mailing address
4812 KYLOE LN, MOSELEY, VA 23120-1242
(804) 372-5679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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