Individual
ANGELA LESTOURGEON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
7650 E PARHAM RD, SUITE 100, RICHMOND, VA 23294-4373
(804) 282-6338
(804) 285-3237
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008953104
—
VA
01
—
P00761610
RR MEDICARE
VA
Enumeration date
06/14/2006
Last updated
02/04/2014
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