Individual
REBECCA LYNN WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 ROSS CARTER BLVD, DUFFIELD, VA 24244-5116
(276) 431-2841
Mailing address
157 ROSS CARTER BLVD, PENNINGTON GAP, VA 24277
(276) 431-2841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001247
VA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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