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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8191 STAPLES MILL RD, RICHMOND, VA 23228-2751
(804) 523-2653
(804) 767-4415
Mailing address
8191 STAPLES MILL RD, RICHMOND, VA 23228-2751
(804) 523-2653
(804) 767-4415

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001378
VA

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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