| |
1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | |
(434) 977-6700 | |
(434) 977-6779 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1405 Rolkin Court, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609928621 | NPI | - | NPPES |
192584 | Other | VA | ANTHEM |
291133 | Other | VA | SOUTHERN HEALTH |
278712 | Other | VA | SOUTHERN HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305002319 (Virginia) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 2305002319 (Virginia) | Primary |
Provider Name | Brian P Lambert |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942209408 PECOS PAC ID: 9537349865 Enrollment ID: I20110203000761 |
Provider Name | James E Seibert |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891794343 PECOS PAC ID: 0749455673 Enrollment ID: I20111205000606 |
Mailing Address | Practice Location Address |
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1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 Ph: (434) 977-6700 | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 Ph: (434) 977-6700 |