Individual
RODNEY WILLIAM ST. DISMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
984 LASKIN RD STE B, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
Mailing address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605055
VA
261QP2000X
Physical Therapy Clinic/Center
2306605055
VA
Other
Enumeration date
11/23/2020
Last updated
07/12/2022
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