Individual
MRS. ALLISON H WIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
300B TEMPLE LAKE DR, SUITE 1, COLONIAL HEIGHTS, VA 23834-2973
(804) 524-9036
(804) 524-9039
Mailing address
771 PILOT HOUSE DR, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202840
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010306060
—
VA
01
—
192946
BCBS (PHYS. THERAPY)
VA
01
—
7058866
AETNA
VA
01
—
P00395286
RAILROAD MEDICARE
VA
Enumeration date
01/10/2007
Last updated
04/22/2008
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