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Individual
MRS. VIRGINIA MARIE STANDFORD
Active
Individual
MRS. VIRGINIA MARIE STANDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18657
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147719000
DEPT OF LABOR
MD
01
—
546240-06
CAREFIRST FSS
MD
01
—
54624007
MSS BC
MD
01
—
602030700
DEPT OF LABOR MSS
MD
01
—
K1340002
CAP/FED BC
MD
01
—
R5590003
FSS CAP BC
MD
Enumeration date
01/11/2006
Last updated
09/15/2010
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