Healthcare Provider Details

I. General information

NPI: 1881980019
Provider Name (Legal Business Name): PT PLUS CHARLOTTESVILLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 ARLINGTON BLVD
CHARLOTTESVILLE VA
22903-1594
US

IV. Provider business mailing address

1910 ARLINGTON BLVD
CHARLOTTESVILLE VA
22903-1594
US

V. Phone/Fax

Practice location:
  • Phone: 434-984-0303
  • Fax: 434-984-0330
Mailing address:
  • Phone: 434-984-0303
  • Fax: 434-984-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA F. COLEMAN
Title or Position: PRESIDENT
Credential: PT
Phone: 434-823-7628