Individual
MARY BETH HERRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7023 LITTLE RIVER TPKE, SUITE #400, ANNANDALE, VA 22003-5939
(703) 354-1230
(703) 354-5691
Mailing address
7023 LITTLE RIVER TPKE, SUITE #400, ANNANDALE, VA 22003-5939
(703) 354-1230
(703) 354-5691
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0105-003408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192825
ANTHEM INSURANCE CO
VA
Enumeration date
12/05/2006
Last updated
07/08/2007
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