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Individual

GIAVONNA ANNE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1788 REPUBLIC RD STE 100, VIRGINIA BEACH, VA 23454-4552
(757) 437-0412
(757) 437-4582
Mailing address
1450 KEMPSVILLE RD STE 102, VIRGINIA BEACH, VA 23464-7320
(757) 496-3700
(757) 481-6175

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217343
VA

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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