Individual
JESSIE GENEVA MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1103 PLAZA DR STE H, GRUNDY, VA 24614-6625
(276) 935-5525
Mailing address
1103H PLAZA DRIVE, GRUNDY, VA 24614
(276) 935-5525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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