NPI 1003913377

Charlottesville Rehabilitation Equipment

Organisation Durable Medical Equipment & Medical Supplies Charlottesville, VA

Practice location

Address: 1717 Allied St, Charlottesville, VA 22903-5320
Phone: (434) 971-8808
Fax: (434) 971-3754

Authorised official

Name: Aric van Brocklin
Title: Owner
Phone: (434) 971-8808

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 82480 (VA)

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Registry record

NPI: 1003913377
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 26 Mar 2008

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.