Individual
PAIGE S PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
7226B WILLIAMSON RD, ROANOKE, VA 24019-4264
(540) 366-9244
(540) 366-9245
Mailing address
PO BOX 21604, ROANOKE, VA 24018-0162
(540) 725-5300
(540) 725-5356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000530
VA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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