Organization
DANVILLE PHYSICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A NICHOLSON PT (PRESIDENT PHYSICAL THERAPIST)
(434) 792-5988
Entity
Organization
Contact information
Practice address
149 DEER RUN ROAD, DANVILLE, VA 24540
(434) 792-5988
(434) 792-5993
Mailing address
149 DEER RUN ROAD, DANVILLE, VA 24540
(434) 792-5988
(434) 792-5993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194032
ANTHEM BCBS
VA
05
—
8948542
—
VA
Enumeration date
10/05/2006
Last updated
08/22/2020
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