Organization
HAMPTON ROADS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DIANE MIZE P.T. (OWNER)
(757) 641-0545
Entity
Organization
Contact information
Practice address
3124 QUIMBY RD, VIRGINIA BEACH, VA 23452-7043
(757) 641-0545
Mailing address
3124 QUIMBY RD, VIRGINIA BEACH, VA 23452-7043
(757) 641-0545
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305002648
VA
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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