Individual
NANCY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
1625 MILL LANDING RD, VIRGINIA BEACH, VA 23457-1430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000507
VA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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