Organization
ADVANCED PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JAMES WITTENAUER (PRESIDENT / CEO)
(804) 560-9575
Entity
Organization
Contact information
Practice address
108 WALTON PARK LN, MIDLOTHIAN, VA 23114-3028
(804) 560-9575
(804) 560-9557
Mailing address
108 WALTON PARK LN, MIDLOTHIAN, VA 23114-3028
(804) 560-9575
(804) 560-9557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114480
ANTHEM
—
01
—
6400314
UHC
—
01
—
7933191
AETNA
—
Enumeration date
12/09/2005
Last updated
08/22/2020
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