Organization
BOTETOURT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WILLIAM THORNE PT (PHYSICAL THERAPIST)
(540) 992-3660
Entity
Organization
Contact information
Practice address
104 KINGSTON DR, DALEVILLE, VA 24083-2575
(540) 992-3660
Mailing address
104 KINGSTON DR, DALEVILLE, VA 24083-2575
(540) 992-3660
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305207120
VA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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