Individual
ANNERUSSELL MOORE WHITESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14700 VILLAGE SQUARE PL, MIDLOTHIAN, VA 23112-2253
(276) 597-5159
(276) 597-5158
Mailing address
14700 VILLAGE SQUARE PL, MIDLOTHIAN, VA 23112-2253
(276) 597-5159
(276) 597-5158
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215154
VA
Other
Enumeration date
09/01/2022
Last updated
12/11/2024
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