Mosher Physical Therapy & Sports Medicine Pc

NPI 1194702936 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1194702936
Enumeration Date 12/22/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RUSSELL A RUSSELL
Position PRESIDENT OWNER
Phone (757) 331-4490
Fax (757) 331-4491
Practice Location
712 RANDOLPH AVE
CAPE CHARLES VA, 23310-3308, US
Phone (757) 331-4490
Fax (757) 331-4491
Business Location
PO BOX 1059
ONLEY VA, 23418-1059, US
Phone (757) 331-4490
Fax (757) 331-4491
Toxanomy
Taxonomy Code 208100000X
License State Virginia
License Number 5088
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According to our database, Mosher Physical Therapy & Sports Medicine Pc NPI is 1194702936, taxonomy code is 208100000X and license number is 5088, license state is located at Virginia. Mosher Physical Therapy & Sports Medicine Pc physically located at 712 Randolph Ave, Cape Charles VA, 23310-3308. NPI Number 1033115704 has the healthcare provider type.

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1194702936 NPI number is provided on an as is basis without warranty of any kind. 1194702936 is maintained by the National Plan & Provider Enumeration System. The contents of Mosher Physical Therapy & Sports Medicine Pc are for informational purposes only.