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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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