Individual
MRS. JENNIFER MAGBANUA REGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5604 VIRGINIA BEACH BLVD, BLDG A, SUITE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Mailing address
5604 VIRGINIA BEACH BLVD, BLDG A, SUITE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203122
VA
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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