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NPI Code Detail

MEDICARE: COLONIAL ORTHOPAEDICS, INC

MEDICARE: COLONIAL ORTHOPAEDICS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center0119000261VA
2261QP2000XPhysical Therapy Clinic/Center2305005628VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1182898OTHERVASOUTHERN HEALTH PT OT
2194507OTHERVAANTHEM PT
35654515OTHERVAFIRST HEALTH MAILHANDLERS
4194508OTHERVAANTHEM OT
510002763OTHERVAOPTIMA PT

General Provider Information

NPI Number : 1336270289
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLONIAL ORTHOPAEDICS, INC
Provider Business Mailing Address
First Line : 13000 RIVERS BEND BLVD STE D
Second Line :
City : CHESTER
State : VA
Zip : 23836-8632
Country : US
Telephone Number : 804-571-5000
Fax Number : 804-518-1314
Provider Business Practice Location Address
First Line : 131 JENNICK DR
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-4905
Country : US
Telephone Number : 804-526-5888
Fax Number : 804-526-5401
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : DEE DEE ALVIS
Credential :
Telephone Number : 804-571-5132
Provider Enumeration Date : 03/09/2007
Last Update Date : 02/19/2014

Similar Medicare Providers

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Practice Location Address:
131 JENNICK DR
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23834-4905
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1770582199 — GURPAL S. BHULLER M.D.
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1710920772 — MRS. ALAYNE A SCHWEITZER DPT
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1568406825 — COLONIAL ORTHOPAEDICS, INC
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131 JENNICK DR
COLONIAL HEIGHTS, VA
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1659304293 — MRS. JENNIFER LINDSEY HARLESS OTR, CHT
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1851505176 — COLONIAL ORTHOPAEDICS INC
Practice Location Address:
131 JENNICK DR
COLONIAL HEIGHTS, VA
23834-4905
Practice Phone: 804-526-5888
Practice Fax: 804-526-5401

Directions to “COLONIAL ORTHOPAEDICS, INC ” Practice Location

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