Organization
RISE PHYSICAL THERAPY & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA RAE HAYNIE DPT (CEO/DPT)
(757) 650-2513
Entity
Organization
Contact information
Practice address
15314 CARROLLTON BLVD, CARROLLTON, VA 23314-2304
(757) 650-2513
Mailing address
9215 WIGNEIL ST, SUFFOLK, VA 23433-1530
(757) 650-2513
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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