Individual
JENNIFER COINER MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6800 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1511
Mailing address
2534 HUNGARY SPRING RD, HENRICO, VA 23294-6315
(804) 477-5963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212818
VA
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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