Individual
STEPHANIE KORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(757) 496-1609
Mailing address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306604616
VA
225200000X
Physical Therapy Assistant
—
VA
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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