Individual
SHERMAN BOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15058 ARDMORE LOOP, WOODBRIDGE, VA 22193-1894
(321) 222-7524
Mailing address
15058 ARDMORE LOOP, WOODBRIDGE, VA 22193-1894
(321) 222-7524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603576
VA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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