Healthcare Provider Details

I. General information

NPI: 1336190511
Provider Name (Legal Business Name): FIRST STEPS PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 TURNER RIDGE CT
GLEN ALLEN VA
23059-5925
US

IV. Provider business mailing address

4915 TURNER RIDGE CT
GLEN ALLEN VA
23059-5925
US

V. Phone/Fax

Practice location:
  • Phone: 404-918-4010
  • Fax:
Mailing address:
  • Phone: 404-918-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number2305211032
License Number StateVA

VIII. Authorized Official

Name: MS. JOSEPHINE V HARDWICK
Title or Position: QWNER
Credential: P.T.
Phone: 404-918-4010