Organization
KENT INTEGRATIVE PHYSICAL THERAPY LLC
Active
Other names
Kent Integrative Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY KENT DPT (PHYSICAL THERAPIST/OWNER)
(757) 447-7278
Entity
Organization
Contact information
Practice address
3616 ROYAL PALM ARCH, VIRGINIA BEACH, VA 23452-3608
(804) 922-6505
Mailing address
3616 ROYAL PALM ARCH, VIRGINIA BEACH, VA 23452-3608
(757) 447-7278
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305208118
VA
261QR0400X
Rehabilitation Clinic/Center
2305208118
VA
Other
Enumeration date
04/18/2017
Last updated
07/27/2017
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