Organization
WENDY B JAFFE, PT, PLLC
Active
Organization
WENDY B JAFFE, PT, PLLC
Active
Other names
Pediatric Evaluation and Developmental Services
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY B JAFFE (OWNER)
(757) 268-2604
Entity
Organization
Contact information
Practice address
2525 INLYNNVIEW RD, VIRGINIA BEACH, VA 23454-1846
(757) 268-2604
Mailing address
2525 INLYNNVIEW RD, VIRGINIA BEACH, VA 23454-1846
(757) 268-2604
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305005698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195322
SOUTHEAST SERVICES, INC.
VA
01
—
452542
ANTHEM BC BS
VA
Enumeration date
02/23/2007
Last updated
08/22/2020
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