Individual
MRS. LUCILLE ANN DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
(757) 623-5602
Mailing address
415 KAY RD, PORTSMOUTH, VA 23701-1217
(757) 488-8298
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2305002095
VA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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