Organization Name: | LAKE RIDGE PHYSICAL THERAPY, LLC. |
NPI Number: | 1871598417 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER J. GREETHAM (PRESIDENT AND CEO) |
Mailing Address: | 12544 Dillingham Sq Woodbridge |
State: | VA US |
Postal Code: | 221925259 |
Phone Number: | 7037306969 |
Fax Number: | 7037301169 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305004216 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
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 |