Individual
SILAS KEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3902
(866) 824-8174
Mailing address
305 DELAWARE RD, FRANKLIN, VA 23851-2948
(757) 630-5144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604081
VA
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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