Organization
LEVEL UP PHYSICAL THERAPY
Active
Organization
LEVEL UP PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA PENA PTA, SPT (CO-OWNER)
(808) 347-1105
Entity
Organization
Contact information
Practice address
6420 SEMINOLE TRL STE L4, BARBOURSVILLE, VA 22923-2836
(808) 347-1105
Mailing address
6420 SEMINOLE TRL STE L4, BARBOURSVILLE, VA 22923-2836
(808) 347-1105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2020
Last updated
03/10/2021
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