Organization
DUFFIELD PHYSICAL THERAPY AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWAYNE STEVEN GARRETT LPTA (CHIEF MANAGER)
12763562701
Entity
Organization
Contact information
Practice address
134 CECIL D QUILLEN DR, DUFFIELD, VA 24244-9726
(276) 431-3141
(276) 431-3143
Mailing address
134 CECIL D QUILLEN DR, DUFFIELD, VA 24244-9726
(276) 431-3141
(276) 431-3143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/18/2006
Last updated
09/26/2007
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