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Individual

KATHYRN H SPROULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PT

Contact information

Practice address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202484
VA

Other

Enumeration date
09/11/2007
Last updated
09/11/2007
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