Individual
MRS. ANGELA SPATES DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 TWINRIDGE LN, RICHMOND, VA 23235-5248
(804) 320-5629
Mailing address
4236 MOUNTAIN GROVE RD, GLEN ALLEN, VA 23060-3893
(804) 320-5629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005894
VA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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