Individual
JENNIFER MYERS-SHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 CHARLES H DIMMOCK PKWY STE 7, COLONIAL HEIGHTS, VA 23834-2936
(804) 520-1208
Mailing address
1221 HERMITAGE RD, COLONIAL HEIGHTS, VA 23834-2727
(804) 524-9191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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