Individual
PAULA VANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 FENWICK RD, HAMPTON, VA 23651-1120
(757) 593-0358
Mailing address
7 BAXTER ST, HAMPTON, VA 23669-1625
(757) 870-1974
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601385
VA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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