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Individual

MRS. DIA RIFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1060 ANCHORAGE CIRCLE, VANSANT, VA 24656
(276) 935-6496
(276) 935-5852
Mailing address
PO BOX 1078, GRUNDY, VA 24614-1078
(276) 935-6496
(276) 935-5852

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305-003200
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0049-78471
VA
01
265995
ANTHEM
VA
Enumeration date
10/27/2005
Last updated
12/01/2011
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