Provider Demographics
NPI:1093477531
Name:3D MOVEMENT AND REHAB, LLC
Entity Type:Organization
Organization Name:3D MOVEMENT AND REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:434-941-8212
Mailing Address - Street 1:1139 READMOOR ESTATE DR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1682
Mailing Address - Country:US
Mailing Address - Phone:434-941-8212
Mailing Address - Fax:
Practice Address - Street 1:1139 READMOOR ESTATE DR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-1682
Practice Address - Country:US
Practice Address - Phone:434-941-8212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy