Individual
BETHANY CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208089
VA
225200000X
Physical Therapy Assistant
2306602217
VA
Other
Enumeration date
06/28/2013
Last updated
08/06/2013
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