Organization
VIRTUS HEALTH - PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN VADEN III PT (OWNER)
(804) 338-6754
Entity
Organization
Contact information
Practice address
1238 YEAMANS HALL RD STE 1, HANAHAN, SC 29410-2790
(804) 338-6754
Mailing address
2244 ASHLEY CROSSING DR UNIT 333, CHARLESTON, SC 29414-6084
(804) 338-6754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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