Organization
THERAPY INNOVATIONS INC
Active
Other names
1ST STEP REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN DOCKERY (INS. BILLING MANAGER)
(276) 386-2424
Entity
Organization
Contact information
Practice address
389 KANE STREET, GATE CITY, VA 24251
(276) 386-2424
(276) 386-2349
Mailing address
PO BOX 1807, GATE CITY, VA 24251
(276) 386-2424
(276) 386-2349
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979681
—
VA
Enumeration date
08/30/2006
Last updated
09/26/2016
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