Organization
CAROUSEL PHYSICAL THERAPY, INC.
Active
Other names
Carousel Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI L VERMEER MSPT (PRESIDENT/ PHYSICAL THERAPIST)
(804) 435-3435
Entity
Organization
Contact information
Practice address
500 IRVINGTON ROAD, KILMARNOCK, VA 22482
(804) 435-3435
Mailing address
500 IRVINGTON ROAD, P.O. BOX 128, KILMARNOCK, VA 22482
(804) 435-3435
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305202045
VA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009402331
—
VA
01
—
194072
ANTHEM BC & BS
VA
01
—
20091
SENTARA
VA
01
—
CH0505
RAILROAD MEDICARE
GA
Enumeration date
10/13/2006
Last updated
07/03/2019
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