Organization
CENTER FOR REHABILITATION & DEVELOPMENT, INC.
Active
Organization
CENTER FOR REHABILITATION & DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE P LEMMON (SENIOR OFFICE MANAGER)
(540) 961-1230
Entity
Organization
Contact information
Practice address
4515 BRAMBLETON AVE, ROANOKE, VA 24018-3436
(540) 961-1230
(540) 951-0613
Mailing address
4515 BRAMBLETON AVE, ROANOKE, VA 24018-3436
(540) 961-1230
(540) 951-0613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191997
ANTHEM
VA
Enumeration date
02/13/2007
Last updated
09/24/2009
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