Individual
MS. ANNA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13030 WARWICK BLVD, NEWPORT NEWS, VA 23602-8374
(757) 249-0355
Mailing address
PO BOX 154, PROVIDENCE FORGE, VA 23140-0154
(804) 366-8495
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606109
VA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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