Individual
MS. JULIA A MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7419 GRANBY ST, NORFOLK, VA 23505-3406
(757) 489-5820
Mailing address
1117 HAZEL AVE, CHESAPEAKE, VA 23325-2901
(606) 402-0883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602938
VA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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