Individual
FRIDA A SILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 595-9515
Mailing address
1403 OAKDALE AVE, PETERSBURG, VA 23803-3914
(804) 585-7624
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
2306605900
VA
225200000X
Physical Therapy Assistant
Primary
2306605900
VA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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