Individual
MARY TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1282 SULLIVAN RD, BOYDTON, VA 23917-2628
(434) 579-1242
Mailing address
1282 SULLIVAN RD, BOYDTON, VA 23917-2628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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