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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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