Virginia Center For Spine & Sports Therapy Llc | |
2820 Waterford Lake Dr, Suite 103, Midlothian, VA 23112-3994 | |
(804) 249-8277 | |
(804) 249-9690 |
Full Name | Virginia Center For Spine & Sports Therapy Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 2820 Waterford Lake Dr, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598861395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Martin H Dominguez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407855513 PECOS PAC ID: 8325098288 Enrollment ID: I20050127000973 |
Provider Name | Eric L Jorde |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154304780 PECOS PAC ID: 5890747182 Enrollment ID: I20050215000554 |
Provider Name | Nancy J Placide |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114108818 PECOS PAC ID: 4284651985 Enrollment ID: I20051101001009 |
Provider Name | Andrew Schaflander Rothschild |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518995489 PECOS PAC ID: 4587661731 Enrollment ID: I20061031000347 |
Provider Name | Kristen T Sowers |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427179886 PECOS PAC ID: 2769580034 Enrollment ID: I20090529000262 |
Provider Name | Tegan Carper Haith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487052908 PECOS PAC ID: 7719203603 Enrollment ID: I20150312001381 |
Provider Name | Kelly J Nixon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518329366 PECOS PAC ID: 1951690940 Enrollment ID: I20160513001823 |
Provider Name | Andrew James Mann |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467838748 PECOS PAC ID: 8325303043 Enrollment ID: I20190312000000 |
Provider Name | Jamie Latta Coon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750937538 PECOS PAC ID: 8325379860 Enrollment ID: I20191014002573 |
Provider Name | Lance D Bennett |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710653795 PECOS PAC ID: 2567851967 Enrollment ID: I20211104002754 |
Mailing Address | Practice Location Address |
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Virginia Center For Spine & Sports Therapy Llc 2820 Waterford Lake Dr Ste 103, Midlothian, VA 23112-3994 Ph: (804) 249-8277 | Virginia Center For Spine & Sports Therapy Llc 2820 Waterford Lake Dr, Suite 103, Midlothian, VA 23112-3994 Ph: (804) 249-8277 |