Individual
WENDY B JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
928 DIAMOND SPRINGS RD STE 103, VIRGINIA BEACH, VA 23455-6601
(757) 395-1975
(757) 425-7180
Mailing address
928 DIAMOND SPRINGS RD STE 103, VIRGINIA BEACH, VA 23455-6601
(757) 395-1975
(757) 425-7180
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305005698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452542
ANTHEM BC BS
VA
Enumeration date
09/27/2006
Last updated
04/22/2022
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