Provider Demographics
NPI:1619013547
Name:WOMENS HEALTH PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:WOMENS HEALTH PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CORA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HUITT
Authorized Official - Suffix:
Authorized Official - Credentials:PT MA
Authorized Official - Phone:804-379-3002
Mailing Address - Street 1:2002 BREMO RD STE 202
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2441
Mailing Address - Country:US
Mailing Address - Phone:804-282-3500
Mailing Address - Fax:804-282-3533
Practice Address - Street 1:2002 BREMO RD STE 202
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2441
Practice Address - Country:US
Practice Address - Phone:804-282-3500
Practice Address - Fax:804-282-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192292OtherANTHEM
VA192292OtherANTHEM