Organization
ORTHOVIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PROFFITT (CREDENTIALING & ENROLLMENT)
(804) 533-2357
Entity
Organization
Contact information
Practice address
13212 HULL STREET RD, MIDLOTHIAN, VA 23112-2620
(804) 419-9840
(804) 287-2786
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
06/02/2022
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