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Individual

TERESA EILEEN DATZ-KINAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
3020 SUMMERHURST DR, MIDLOTHIAN, VA 23113-2181
(804) 839-0199
Mailing address
3020 SUMMERHURST DR, MIDLOTHIAN, VA 23113-2181
(804) 839-0199

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2251N0400X
Neurology Physical Therapist
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
02/08/2016
Last updated
02/08/2016
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