NPI 1003195884

Total Rehab Anf Fitness Center

Organisation Exclusive Provider Organization Fredericksburg, VA

Practice location

Address: 10007 Jefferson Davis Hwy 127, Fredericksburg, VA 22407-9428
Phone: (540) 891-4224
Fax: (540) 891-4452
Mailing address: 10007 Jefferson Davis Hwy, Fredericksburg, VA 22407-9428

Authorised official

Name: Dante Tyler
Title: Mgr Owner
Phone: (540) 891-4224

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1012540 (VA)

Other Exclusive Provider Organization providers in Virginia →

Registry record

NPI: 1003195884
Entity type: Organization
NPI issued: 10 Aug 2011
Record last updated: 10 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.