All Medicaid billing entities listing THEISEN, PHIL (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $2K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING | LYNCHBURG, VA | Case Manager/Care Coordinator | $2K |