Organization Name: | SPORT MEDICINE AND ORTHOPAEDIC CENTER INC |
NPI Number: | 1043246556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD RAUCHENBERGER (ADMINISTRATOR) |
Mailing Address: | 100 Wimbledon Sq Chesapeake |
State: | VA US |
Postal Code: | 233204931 |
Phone Number: | 7575475145 |
Fax Number: | 7574362480 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |