Organization
CTL OF VA LLC
Active
Other names
Joint Regeneration Group of Blacksburg
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KENNY (AUTHORIZED OFFICIAL)
(904) 576-0786
Entity
Organization
Contact information
Practice address
210 PROFESSIONAL PARK DR SE STE 9, BLACKSBURG, VA 24060-6649
(904) 616-3040
Mailing address
210 PROFESSIONAL PARK DR SE STE 9, BLACKSBURG, VA 24060-6649
(904) 616-3040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
03/21/2023
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