Rise Physical Therapy & Wellness, PLLC
Clinic/Center, Physical Therapy in Carrollton, VA. Organization (NPI-2).
NPI number1295328706
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1295328706
- Entity type
- Organization (NPI-2)
- Legal business name
- Rise Physical Therapy & Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2021
- Certification date
- Feb 16, 2021
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
15314 Carrollton BlvdCarrollton, VA 23314-2304
Phone 757-650-2513
Mailing address
9215 Wigneil StSuffolk, VA 23433-1530
Phone 757-650-2513
Authorized official
Jessica Rae Haynie
Ceo/Dpt
7576502513
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