Individual
MRS. LIANNE SECUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4142 BONNEY RD, VIRGINIA BEACH, VA 23452-1711
(757) 340-0621
Mailing address
1444 KEMPSVILLE RD, VIRGINIA BEACH, VA 23464-7302
(757) 474-7490
(757) 474-7931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000769
VA
Other
Enumeration date
06/02/2008
Last updated
06/17/2008
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