Individual
GINA D. MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1408 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-1315
(757) 694-7872
(757) 340-6210
Mailing address
PO BOX 8561, VIRGINIA BEACH, VA 23450-8561
(757) 748-6003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015810
IL
225100000X
Physical Therapist
1154270
TX
225100000X
Physical Therapist
Primary
2305207230
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP
IL
01
—
CD3789
MEDICARE RAILRODA GROUP NUMBER
IL
01
—
P00602549
MEDICARE RAILROAD NUMBER
IL
Enumeration date
07/27/2006
Last updated
02/13/2012
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