| Resolute Therapy | |
|
716 Wood Brothers Dr Stuart VA 24171-1406 | |
| (276) 694-4488 | |
| (276) 694-4481 |
| Full Name | Resolute Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 716 Wood Brothers Dr, Stuart, Virginia |
| Authorized Official Name and Position | Betthney O'connell (OWNER) |
| Authorized Official Contact | 5402301582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolute Therapy Po Box 232 Patrick Springs VA 24133-0232 Ph: (540) 230-1582 | Resolute Therapy 716 Wood Brothers Dr Stuart VA 24171-1406 Ph: (276) 694-4488 |
| NPI Number | 1548698152 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/20/2022 |
| Certification Date | 06/22/2021 |
| Medicare PECOS PAC ID | 2860622321 |
|---|---|
| Medicare Enrollment ID | O20140228000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548698152 | NPI | - | NPPES |
| 1548698152 | Medicaid | VA |
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