NPI | 1992722326 |
---|---|
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 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2022-06-03 |