Individual
GINA ROSE MIRENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 CHILDRENS LN, 5TH FLOOR OT/PT/ST, NORFOLK, VA 23507-1910
(757) 668-6244
Mailing address
601 CHILDRENS LN, 5TH FLOOR OT/PT/ST, NORFOLK, VA 23507-1910
(757) 668-6244
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305205133
VA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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