Individual
MRS. INGRID D. KLIETHERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
315 CABIN CT APT B, FRONT ROYAL, VA 22630-7024
(240) 472-1929
Mailing address
PO BOX 2090, FRONT ROYAL, VA 22630-0043
(240) 472-1929
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601785
VA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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