Individual
ANNETTE PROTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 GREEN HILL DR, VERONA, VA 24482-2654
(540) 213-1201
(540) 213-1204
Mailing address
1 GREEN HILL DR, VERONA, VA 24482-2654
(540) 213-1201
(540) 213-1204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2306001778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190047
BLUE CROSS
VA
Enumeration date
08/09/2007
Last updated
08/09/2007
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