Organization
VIRGINIA PROSTHETICS INC
Active
Other names
ForMotion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD NEIL GARDNER (DIRECTOR)
(615) 864-8783
Entity
Organization
Contact information
Practice address
103 S PANTOPS DR STE 107, CHARLOTTESVILLE, VA 22911-8617
(434) 220-2426
(434) 220-2428
Mailing address
4338 WILLIAMSON RD NW, ROANOKE, VA 24012-2821
(540) 366-8287
(540) 366-0186
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010313538
—
VA
Enumeration date
08/13/2006
Last updated
02/16/2026
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