Organization
PENINSULA PHYSICAL THERAPY & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO L SUGGS PT (PRESIDENT / CEO)
(757) 838-7453
Entity
Organization
Contact information
Practice address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 838-7453
(757) 838-2314
Mailing address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 838-7453
(757) 838-2314
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305001701
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4979397
—
VA
Enumeration date
01/26/2006
Last updated
09/06/2016
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