Organization
WINCHESTER PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY T HUMPHREYS P.T. (PRESIDENT/OWNER)
(540) 667-7076
Entity
Organization
Contact information
Practice address
130 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-7076
(540) 667-5773
Mailing address
130 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-7076
(540) 667-5773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305001499
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004944
—
WV
05
—
3810004945
—
VA
Enumeration date
09/21/2006
Last updated
03/27/2008
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