Healthcare Provider Details

I. General information

NPI: 1083928295
Provider Name (Legal Business Name): VANN VIRGINIA CENTER FOR ORTHOPAEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 07/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 VOLVO PKWY SUITE 100
CHESAPEAKE VA
23320-1609
US

IV. Provider business mailing address

230 CLEARFIELD AVE SUITE 124
VIRGINIA BEACH VA
23462-1832
US

V. Phone/Fax

Practice location:
  • Phone: 757-226-9935
  • Fax: 757-436-0781
Mailing address:
  • Phone: 757-321-3300
  • Fax: 757-321-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. CECIL FM MORRIS IV
Title or Position: CFO PRACTICE ADMINISTRATOR
Credential:
Phone: 757-321-3300