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Individual

MRS. CAROLINE SPENCER BETZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1300 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 378-9968
(804) 378-8870
Mailing address
12717 STONEBRIAR LN, RICHMOND, VA 23233-7052
(804) 358-3687
(804) 378-8870

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203392
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154452
ANTHEM BCBS
VA
Enumeration date
06/03/2006
Last updated
07/08/2007
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