Healthcare Provider Details

I. General information

NPI: 1013180066
Provider Name (Legal Business Name): THE CHOICE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4807 RADFORD AVE SUITE 106
RICHMOND VA
23230-3539
US

IV. Provider business mailing address

4807 RADFORD AVE SUITE 106
RICHMOND VA
23230-3539
US

V. Phone/Fax

Practice location:
  • Phone: 804-278-9151
  • Fax: 804-278-9221
Mailing address:
  • Phone: 804-278-9151
  • Fax: 804-278-9221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROBIN METCALF
Title or Position: PRESIDENT
Credential: L.P.C. M.ED., M.S
Phone: 804-278-9151