Provider Demographics
NPI:1962645945
Name:OWENS, JOSHUA L (LICENSE PHYSICAL THE)
Entity Type:Individual
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First Name:JOSHUA
Middle Name:L
Last Name:OWENS
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Gender:M
Credentials:LICENSE PHYSICAL THE
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Mailing Address - Street 1:P.O. BOX 1657
Mailing Address - Street 2:104 N. SANDERS AVE. HEARTLAND REHABILITATION SERVICES O
Mailing Address - City:CHILKOWIE
Mailing Address - State:VA
Mailing Address - Zip Code:24319
Mailing Address - Country:US
Mailing Address - Phone:276-646-8774
Mailing Address - Fax:276-646-5576
Practice Address - Street 1:104 N. SANDERS AVE
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES OF VIRGINIA, INC.
Practice Address - City:CHILKOWIE
Practice Address - State:VA
Practice Address - Zip Code:24319
Practice Address - Country:US
Practice Address - Phone:276-646-8774
Practice Address - Fax:276-646-5576
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
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Provider Licenses
StateLicense IDTaxonomies
VA2306602614225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant