Organization
ORTHOVIRGINIA, INC.
Active
Other names
Commonwealth Orthopaedics and Rehabilitation, PC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PROFFITT (CREDENTIALING/ENROLLMENT)
(804) 533-2357
Entity
Organization
Contact information
Practice address
1850 TOWN CENTER PKWY, STE 403, RESTON, VA 20190-3219
(703) 810-5203
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
06/03/2022
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