Individual
LOUISE ELIZABETH JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
729 THIMBLE SHOALS BLVD, BLDG. 4, SUITE C, NEWPORT NEWS, VA 23606-4217
(757) 873-2932
(757) 873-8780
Mailing address
11842 ROCK LANDING DR, SUITE 117, NEWPORT NEWS, VA 23606-4437
(757) 591-2022
(757) 591-2075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202234
VA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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