Organization
TWIN COUNTY REGIONAL HOSPITAL PHYSICAL THERAPY
Active
Other names
OUTPATIENT REHABILITATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON LEE MONTGOMERY CPA (CFO)
(276) 236-1620
Entity
Organization
Contact information
Practice address
607 GLENDALE RD, GALAX, VA 24333-2209
(276) 236-1675
(276) 236-3399
Mailing address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-1675
(276) 236-3399
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007694
BLUE CROSS
VA
05
—
0490115
—
VA
Enumeration date
10/16/2009
Last updated
10/16/2009
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