Individual
MARGERY STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
8913 BRENNAN RD, RICHMOND, VA 23229-8114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204914
VA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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