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Individual

MS. ELAINE S COMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
637 KINGSBOROUGH SQ, SUITES F&G, CHESAPEAKE, VA 23320-4944
(757) 754-7755
(757) 548-0647
Mailing address
PO BOX 5982, VIRGINIA BEACH, VA 23471-0982
(757) 547-7554
(757) 548-0647

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23050003032
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008938806
VA
05
010380383
VA
05
010380405
VA
05
010380448
VA
05
010381142
VA
Enumeration date
11/28/2005
Last updated
10/22/2010
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