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NPI Code Detail

MEDICARE: SENTARA THERAPY SOLUTIONS, LLC

MEDICARE: SENTARA THERAPY SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor
2225700000XMassage Therapist
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist
5225100000XPhysical Therapist

General Provider Information

NPI Number : 1083248140
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENTARA THERAPY SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 4439 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3100
Country : US
Telephone Number : 757-252-0590
Fax Number :
Provider Business Practice Location Address
First Line : 4439 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3100
Country : US
Telephone Number : 757-252-0590
Fax Number : 757-425-7180
Authorized Official
Title or Position : DIRECTOR
Name : DORIS PRINCE
Credential :
Telephone Number : 757-252-2760
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

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Directions to “SENTARA THERAPY SOLUTIONS, LLC ” Practice Location

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