Individual
GEOFFREY GITAU NGUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3615 W MAIN ST, SALEM, VA 24153-1961
(540) 380-4500
Mailing address
2507 MARR ST NW, ROANOKE, VA 24012-7201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602788
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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