Individual
MS. JANA LIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5716 CLEVELAND ST, SUITE 120, VIRGINIA BEACH, VA 23462-1784
(757) 961-7271
(757) 961-7276
Mailing address
500 BOTETOURT ST, APT 601, NORFOLK, VA 23510-1120
(310) 697-9162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8353
CA
Other
Enumeration date
01/15/2007
Last updated
01/25/2010
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