Individual
EVA GAY SELWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
315 E LEE HWY, NEW MARKET, VA 22844-3103
(540) 740-8041
Mailing address
549 PARK AVE, WOODSTOCK, VA 22664-1244
(540) 459-5940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001242
VA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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