Organization
AQUATIC THERAPY OF VIRGINIA, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN G GARRETT OT (OWNER/PRESIDENT)
(757) 269-0430
Entity
Organization
Contact information
Practice address
525 OYSTER POINT RD, SUITE E, NEWPORT NEWS, VA 23602-6014
(757) 269-0430
(757) 269-0432
Mailing address
525 OYSTER POINT RD, SUITE E, NEWPORT NEWS, VA 23602-6014
(757) 269-0430
(757) 269-0432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001200
VA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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