Individual
MIRANDA LYNN OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 AMERICAN WAY CT, BEDFORD, VA 24523
(540) 583-5118
Mailing address
1227 HUNTERS KNOLL DR, GOODVIEW, VA 24095-3328
(540) 892-1845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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