Individual
MR. BERNARD P. DHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4862 DICKENSON HWY, CLINTWOOD, VA 24228-1810
(276) 926-4516
(276) 926-6652
Mailing address
P.O. BOX 1810, CLINTWOOD, VA 24228
(276) 926-4516
(276) 926-6652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005742
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010193885
—
VA
01
—
196257
ANTHEM GROUP PROVIDER #
VA
01
—
3782625
AETNA ID #
VA
Enumeration date
07/12/2006
Last updated
08/28/2023
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