| NPI | 1679590756 |
|---|---|
| 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 | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-06-06 |