Organization
LEBANON PHYSICAL THERAPY AND REHABILITATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH EASTERLY LOCKRIDGE RPT (OWNER PHYSICAL THERAPIST)
(276) 889-4090
Entity
Organization
Contact information
Practice address
272 HIGHLAND DRIVE, LEBANON, VA 24266-4623
(276) 889-4090
(276) 889-4026
Mailing address
272 HIGHLAND DRIVE, P.O. BOX 1387, LEBANON, VA 24266-4623
(276) 889-4090
(276) 889-4026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
2305002098
VA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
2305002098
VA
Other
Enumeration date
01/24/2006
Last updated
08/23/2007
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