Organization
THE SOURCE PELVIC HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A NAYLOR (CO-OWNER)
(757) 572-5757
Entity
Organization
Contact information
Practice address
2380 LIBERTY WAY STE 2, VIRGINIA BEACH, VA 23456-3466
(757) 932-8977
(757) 932-8979
Mailing address
2380 LIBERTY WAY STE 2, VIRGINIA BEACH, VA 23456-3466
(757) 932-8977
(757) 932-8979
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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