Individual
JEFFREY SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
800 0AK ST, FARMVILLE, VA 23901
(434) 315-2920
Mailing address
538 INDUSTRIAL PARK RD, FARMVILLE, VA 23901-2664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602295
VA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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