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Organization

PERSONAL PHYSICAL THERAPY SERVICES

Active
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Organization

PERSONAL PHYSICAL THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER ALLISON THIBODEAU P.T. (PHYSICAL THERAPIST)
(540) 450-0680
Entity
Organization

Contact information

Practice address
480 W. JUBAL EARLY DRIVE, SUITE 310, WINCHESTER, VA 22601-6449
(540) 450-0680
(540) 450-0681
Mailing address
480 W. JUBAL EARLY DRIVE, SUITE 310, WINCHESTER, VA 22601
(540) 450-0680
(540) 450-0681

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305831302
VA

Other

Enumeration date
05/14/2007
Last updated
04/04/2008
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