Organization
JAMES RIVER PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL W LIST MSPT (PRESIDENT OWNER)
(804) 330-0936
Entity
Organization
Contact information
Practice address
9019 FOREST HILL AVE, SUITE 4C, RICHMOND, VA 23235
(804) 330-0936
Mailing address
9019 FOREST HILL AVE, SUITE 4C, RICHMOND, VA 23235
(804) 330-0936
(804) 330-0937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191597
ANTHEM BS
VA
Enumeration date
07/01/2006
Last updated
08/28/2007
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