| NPI | 1972777274 |
|---|---|
| Former Legal Business Name | COMMONWEALTH ORTHOPAEDICS AND 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 | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2022-06-03 |