NPI 1093147795

Centra Health

Organisation Physical Disabilities Residential Treatment Facility Lynchburg, VA

Practice location

Address: 801 Wyndhurst Dr, Lynchburg, VA 24502-2550
Phone: (434) 237-8160
Fax: (434) 237-8161

Authorised official

Name: Kendall Trae Travis
Title: Doctor of Physical Therapy
Phone: (434) 942-3050

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 0 (VA)

Other Residential Treatment Facility, Physical Disabilities providers in Virginia →

Registry record

NPI: 1093147795
Entity type: Organization
NPI issued: 5 Aug 2013
Record last updated: 21 Jul 2022

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.