Individual
DANA CONNER MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3751 DAVIS RD, PENN LAIRD, VA 22846-9654
(540) 574-1858
Mailing address
3751 DAVIS ROAD, PENN LAIRD, VA 22846-9654
(540) 574-1858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006126
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305006126
2305006126 COMMONWEALTH OF VA PHYSICAL THERAPIST LISCENSE NUMBER
VA
Enumeration date
06/30/2009
Last updated
06/30/2009
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