Therapy 360, LLC
NPI #1982125100 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1982125100
- Entity Type
- Organization
- Organization Name
- Therapy 360, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 28, 2017
- Last Updated
- Jun 28, 2017
Practice Location
- Address
- 716 LEVY AVE
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22902-5730
- Phone
- 12022574854
Authorized Official
- Name
- DR. GILES ALEXANDER JACKSON, PH.D.
- Title
- MANAGER
- Phone
- (202) 257-4854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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