Individual
KELLY MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2135 GENERAL BOOTH BLVD STE 152, VIRGINIA BEACH, VA 23454-5881
(757) 438-8828
(757) 430-8189
Mailing address
2468 MIRROR LAKE DR, VIRGINIA BEACH, VA 23453-3716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000687
VA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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