Individual
MARSHALL RENNIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
421 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 373-3031
(540) 373-9174
Mailing address
421 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 373-3031
(540) 373-9174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211580
ANTHEM BCBS
VA
01
—
261598
MAMSI
—
Enumeration date
11/18/2005
Last updated
07/08/2007
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