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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