Organization
PHYSIOTHERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ACCETTELLA PT (CLINIC DIRECTOR)
(757) 361-3954
Entity
Organization
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Mailing address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0119006782
VA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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