Organization
OPEQUON REHABILITATION & WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SHELBY SIMS JR. PT (PRESIDENT)
(540) 535-2228
Entity
Organization
Contact information
Practice address
3107 VALLEY AVE, SUITE 108, WINCHESTER, VA 22601-2675
(540) 535-2228
(540) 535-2204
Mailing address
3107 VALLEY AVE, SUITE 108, WINCHESTER, VA 22601-2675
(540) 535-2228
(540) 535-2204
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305003951
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10395
MEDICARE GROUP PTAN
VA
Enumeration date
11/09/2007
Last updated
05/16/2008
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