Individual
LINDA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
5520 INDIAN ROAD, VIRGINIA BEACH, VA 23464
(757) 420-3600
Mailing address
5220 CAPTAINS RUN, VIRGINIA BEACH, VA 23464-7205
(248) 880-0582
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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