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Individual

JODIE L. STELLERN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
100 CROFTON PL, PALMYRA, VA 22963-3300
(434) 589-9588
(434) 589-4096
Mailing address
100 CROFTON PL, PALMYRA, VA 22963-3300
(434) 589-9588
(434) 589-4096

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203410
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277356
ANTHEM
VA
Enumeration date
03/31/2006
Last updated
07/08/2007
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