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Organization

MARTINSVILLE PHYSICAL THERAPY AND INDUSTRIAL REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOMMY MATHENA (PRESIDENT)
(434) 836-4158
Entity
Organization

Contact information

Practice address
812 EAST CHURCH STREET, MARTINSVILLE, VA 24112
(276) 638-4809
(276) 638-5139
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
2251X0800X
Orthopedic Physical Therapist
2305005523
VA
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004978790
VA
Enumeration date
07/31/2006
Last updated
01/03/2017
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