Healthcare Provider Details

I. General information

NPI: 1477258390
Provider Name (Legal Business Name): SENTARA THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 VIRGINIA BEACH BLVD
VIRGINIA BEACH VA
23452-4421
US

IV. Provider business mailing address

3509 VIRGINIA BEACH BLVD
VIRGINIA BEACH VA
23452-4421
US

V. Phone/Fax

Practice location:
  • Phone: 757-261-4475
  • Fax: 757-222-3156
Mailing address:
  • Phone: 757-261-4475
  • Fax: 757-222-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DORIS PRINCE
Title or Position: DIRECTOR
Credential:
Phone: 757-983-5475