Individual
MRS. BETH ANN SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6387 CENTER DR, SUITE 201 BLDG 2, NORFOLK, VA 23502-4109
(757) 321-3300
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3300
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204739
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010344522
—
VA
01
—
C05501
MEDICARE GROUP #
VA
Enumeration date
06/09/2006
Last updated
06/24/2010
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