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Individual

MRS. MARY VENABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3372 MANOR GROVE CIR, GLEN ALLEN, VA 23059-4655
(804) 716-2661
Mailing address
3372 MANOR GROVE CIR, GLEN ALLEN, VA 23059-4655
(804) 716-2661

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1023901
TX
225100000X
Physical Therapist
Primary
2305205396
VA

Other

Enumeration date
08/08/2010
Last updated
08/08/2010
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