Individual
JIBRI MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3772 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
(804) 340-0556
Mailing address
3772 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23052100167
VA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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