Individual
MRS. VANNASSA ZONTENNIA CASTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1602
(757) 314-7666
Mailing address
201 JOSHUA CIR, SMITHFIELD, VA 23430-1653
(757) 357-7087
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001611
VA
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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