Individual
MRS. LINDA BEA ALLEN NICEWARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
544 JACKSONS CHASE DR, MIDDLETOWN, VA 22645-3978
(540) 622-7247
Mailing address
544 JACKSONS CHASE DR, MIDDLETOWN, VA 22645-3978
(540) 622-7247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000905
VA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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