Individual
LAURA KI WILBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1241 GATEWOOD RD, NEWPORT NEWS, VA 23601-2313
(757) 591-4963
Mailing address
1241 GATEWOOD RD, NEWPORT NEWS, VA 23601-2313
(757) 591-4963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
VA
Other
Enumeration date
03/25/2018
Last updated
03/25/2018
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