Therapy 360, LLC
Physical Therapist in Charlottesville, VA. Organization (NPI-2).
NPI number1982125100
StatusActive
Last updated in NPPESJun 28, 2017
Details
- NPI
- 1982125100
- Entity type
- Organization (NPI-2)
- Legal business name
- Therapy 360, LLC
- Organization subpart
- No
- Enumeration date
- Jun 28, 2017
- Last updated
- Jun 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305004961 | VA | Yes |
Practice location
716 Levy AveCharlottesville, VA 22902-5730
Phone 12022574854 · Fax 800-923-4304
Mailing address
716 Levy AveCharlottesville, VA 22902-5730
Phone 12022574854 · Fax 800-923-4304
Authorized official
Giles Alexander Jackson
Manager
2022574854
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