Organization
AMELIA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENSON WALKER HOWARD P.T. (PRESIDENT)
(804) 561-1585
Entity
Organization
Contact information
Practice address
10130 SUPERIOR WAY, AMELIA COURT HOUSE, VA 23002-4744
(804) 561-1585
(804) 561-7430
Mailing address
10130 SUPERIOR WAY, AMELIA COURT HOUSE, VA 23002-4744
(804) 561-1585
(804) 561-7430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006161
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010187095
—
VA
01
—
235571
ALLIANCE PPO PROVIDER NUM
VA
01
—
280550
SOUTHERN HEALTH PROVIDER
VA
01
—
460947
ANTHEM PROVIDER NUMBER
VA
01
—
7954419
AETNA PROVIDER NUMBER
VA
01
—
DB7288
RAIL ROAD MEDICARE
VA
Enumeration date
04/06/2006
Last updated
06/24/2015
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