Crippled Children's Hospital

NPI 1013054782 - Physical Therapist - 225100000X

NPI Details
NPI 1013054782
Enumeration Date 01/31/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SAMUEL G SAMUEL
Position VICE PRESIDENT & CFO
Phone (804) 273-6656
Fax (804) 273-6612
Practice Location
10124 W BROAD ST STE K
CHILDREN'S HOSPITAL THERAPY CENTER
GLEN ALLEN VA, 23060-3330, US
Phone (804) 273-6656
Fax (804) 273-6612
Business Location
2924 BROOK RD
CREDENTIALING DEPT
RICHMOND VA, 23220-1215, US
Phone (804) 321-7474
Fax (804) 321-2728
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number H1842
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According to our database, Crippled Children's Hospital NPI is 1013054782, taxonomy code is 225100000X and license number is H1842, license state is located at Virginia. Crippled Children's Hospital physically located at 10124 W Broad St Ste K, Glen Allen VA, 23060-3330. NPI Number 1033115704 has the healthcare provider type.

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1013054782 NPI number is provided on an as is basis without warranty of any kind. 1013054782 is maintained by the National Plan & Provider Enumeration System. The contents of Crippled Children's Hospital are for informational purposes only.