Individual
ANTONIA MARIE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2007 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-6300
(757) 539-0704
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386082022
MEDICAID QMB ONLY
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
06/04/2013
Last updated
03/16/2014
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