Provider Demographics
NPI:1043749153
Name:EGLOFF, CAROLINE THOMSEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:THOMSEN
Last Name:EGLOFF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:ELIZABETH
Other - Last Name:THOMSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:815 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-3750
Mailing Address - Country:US
Mailing Address - Phone:540-745-5005
Mailing Address - Fax:
Practice Address - Street 1:815 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091
Practice Address - Country:US
Practice Address - Phone:540-745-5005
Practice Address - Fax:540-745-5005
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist