Provider Demographics
NPI:1962519777
Name:THERAPY SERVICES OF VIRGINIA INC.
Entity type:Organization
Organization Name:THERAPY SERVICES OF VIRGINIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOLFOLK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:540-672-0085
Mailing Address - Street 1:305 MADISON RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-1015
Mailing Address - Country:US
Mailing Address - Phone:540-672-0085
Mailing Address - Fax:540-672-0089
Practice Address - Street 1:305 MADISON RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1015
Practice Address - Country:US
Practice Address - Phone:540-672-0085
Practice Address - Fax:540-672-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADA3019OtherMEDICARE RAILROAD
VAR44820Medicare UPIN