Provider Demographics
NPI:1548804958
Name:INDUSTRIAL HEALTH, LLC
Entity Type:Organization
Organization Name:INDUSTRIAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:LANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-521-8065
Mailing Address - Street 1:PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-0316
Mailing Address - Country:US
Mailing Address - Phone:800-521-8065
Mailing Address - Fax:703-842-8416
Practice Address - Street 1:9019 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5809
Practice Address - Country:US
Practice Address - Phone:800-521-8065
Practice Address - Fax:703-842-8416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDUSTRIAL HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty