Venu Gopal Divya, | |
41465 Speckled Alder Ct, Aldie, VA 20105-6036 | |
(267) 275-1219 | |
Not Available |
Full Name | Venu Gopal Divya |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 41465 Speckled Alder Ct, Aldie, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336643857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211543 (Virginia) | Primary |
Provider Name | Virginia Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210215000240 |
Provider Name | Star Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1083462667 PECOS PAC ID: 1951833169 Enrollment ID: O20241014000839 |
Mailing Address | Practice Location Address |
---|---|
Venu Gopal Divya, 41465 Speckled Alder Ct, Aldie, VA 20105-6036 Ph: (267) 275-1219 | Venu Gopal Divya, 41465 Speckled Alder Ct, Aldie, VA 20105-6036 Ph: (267) 275-1219 |
Miss Anna Carrenina Wiesbauer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25062 Lind Court, Aldie, VA 20105 Phone: 571-481-0241 | |
Star Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 41465 Speckled Alder Ct, Aldie, VA 20105 Phone: 267-275-1219 | |
Makkah Rehabilitation Pt Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41375 Tarragon Leaf Dr, Aldie, VA 20105 Phone: 201-450-0569 | |
Renee Packer-lowe, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25620 Wyndham Point Ct, Aldie, VA 20105 Phone: 703-489-6299 Fax: 703-935-8710 | |
Renee Packer Pediatric Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25620 Wyndham Point Ct, Aldie, VA 20105 Phone: 703-489-6629 Fax: 703-935-8710 | |
Core Active Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41180 Turkey Oak Dr, Aldie, VA 20105 Phone: 571-245-3666 |