Organization
DANVILLE ORTHOPEDIC AND ATHLETIC REHABILITATION, INC.
Active
Organization
DANVILLE ORTHOPEDIC AND ATHLETIC REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY DIRE MATHENA (PRESIDENT)
(434) 836-4158
Entity
Organization
Contact information
Practice address
2140 FRANKLIN TURNPIKE, DANVILLE, VA 24540
(434) 836-4158
(434) 836-0250
Mailing address
2140 FRANKLIN TURNPIKE, DANVILLE, VA 24540
(434) 836-4158
(434) 836-0250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23005523
VA
225X00000X
Occupational Therapist
0119003075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978641
—
VA
Enumeration date
03/28/2006
Last updated
06/13/2013
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