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Individual

ANN KRYSTEL MEUDE FORBES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(515) 822-4488
Mailing address
305 MARCELLA RD, HAMPTON, VA 23666-2433

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004492
IA
225100000X
Physical Therapist
Primary
2305207164
VA
225100000X
Physical Therapist
8669
CT

Other

Enumeration date
08/08/2011
Last updated
07/08/2012
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