Ctl of Va LLC
NPI #1700503992 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1700503992
- Entity Type
- Organization
- Organization Name
- Ctl of Va LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 27, 2022
- Last Updated
- Mar 21, 2023
Practice Location
- Address
- 210 PROFESSIONAL PARK DR SE STE 9
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-6649
- Phone
- (904) 616-3040
Authorized Official
- Name
- ROBERT KENNY
- Title
- AUTHORIZED OFFICIAL
- Phone
- (904) 576-0786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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