| NPI | 1609894450 |
|---|---|
| Former Legal Business Name | COMMONWEALTH ORTHOPAEDICS & REHABILITATION PC |
| Entity Type | Organization |
| Authorized Contact | NICOLE PROFFITT Credentialing & Enrollment 804-533-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-06-03 |