Organization
PHYSIOTECH INC.
Active
Organization
PHYSIOTECH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MORRIS (OWNER)
(804) 273-9721
Entity
Organization
Contact information
Practice address
10712 SHADYFORD LN, GLEN ALLEN, VA 23060-6271
(804) 273-9721
(804) 273-1065
Mailing address
3420 PUMP RD, #104, RICHMOND, VA 23233-1111
(804) 273-9721
(804) 273-1065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0017907786
VA
Other
Enumeration date
08/09/2005
Last updated
08/22/2020
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