Organization
RENEWED LIFE PHYSICAL THERAPY & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS S LAW (OWNER, PHYSICAL THERAPIST)
(434) 872-1850
Entity
Organization
Contact information
Practice address
2120 BERKMAR DR, CHARLOTTESVILLE, VA 22901-1424
(434) 872-1850
Mailing address
1800 BRENDA CT, CHARLOTTESVILLE, VA 22901-2909
(434) 872-1850
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
01/07/2023
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