Individual
KIRSTEN LEIGH RAEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
249 S NEWTOWN RD, NORFOLK, VA 23502-5718
(757) 892-5528
Mailing address
5444 POWHATAN AVE, NORFOLK, VA 23508-1049
(757) 423-2096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005963
VA
225100000X
Physical Therapist
8462
NC
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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