Individual
KENDALL MARIAH LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
250 JOSEPHS DR, YORKTOWN, VA 23693-3405
(757) 272-0351
Mailing address
200 SWIFT ST APT 1B, NEWPORT NEWS, VA 23602-4296
(757) 525-5473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606451
VA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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