Organization
LAKESIDE MANUAL PHYSICAL THERAPY INC.
Active
Organization
LAKESIDE MANUAL PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE CHISTINE WILLIAMS M.P.T. (PRESIDENT, THERAPIST)
(540) 854-0367
Entity
Organization
Contact information
Practice address
9445 ZACHARY TAYLOR HWY, UNIONVILLE, VA 22567-2126
(540) 854-0367
(540) 854-0369
Mailing address
9445 ZACHARY TAYLOR HWY, UNIONVILLE, VA 22567-2126
(540) 854-0367
(540) 854-0369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195167
BLUE CROSS BLUE SHIELD
VA
01
—
DC1580
MEDICARE RAILROAD
VA
Enumeration date
08/20/2006
Last updated
03/13/2008
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