Organization
ORTHOVIRGINIA, INC.
Active
Other names
Commonwealth Orthopaedics & Rehabilitation PC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PROFFITT (CREDENTIALING & ENROLLMENT)
(804) 533-2357
Entity
Organization
Contact information
Practice address
6355 WALKER LANE, STE 204, ALEXANDRIA, VA 22310-3257
(703) 921-2167
(703) 810-5494
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(703) 691-4933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
06/03/2022
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