Individual
JESSICA T. VOLTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT. MDT
Contact information
Practice address
7151 RICHMOND RD STE 101, WILLIAMSBURG, VA 23188-7234
(757) 345-0753
(757) 345-2892
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457649741
MEDICAID QMB PROVIDER ID
VA
01
—
192935
BCBS (PHYSICAL THERAPY)
VA
01
—
P01102040
MEDICARE RR PTAN
VA
Enumeration date
07/20/2011
Last updated
05/04/2018
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