Individual
KATHRYN PROFFITT KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1628 LASKIN RD STE 706, VIRGINIA BEACH, VA 23451-7504
(757) 481-0052
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215700
VA
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/30/2023
Last updated
10/29/2024
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