Individual
MARSHA CICELY HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
100 N MAIN ST, SUFFOLK, VA 23434-4529
(757) 925-6764
(757) 925-5625
Mailing address
100 N MAIN ST, SUFFOLK, VA 23434-4529
(757) 925-6764
(757) 925-5625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203461
VA
Other
Enumeration date
07/26/2006
Last updated
05/08/2018
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