Individual
MRS. KELSEY LYNN HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2135 GENERAL BOOTH BLVD, SUITE 152, VIRGINIA BEACH, VA 23454-5881
(757) 430-8828
(757) 430-8189
Mailing address
2135 GENERAL BOOTH BLVD, SUITE 152, VIRGINIA BEACH, VA 23454-5881
(757) 430-8828
(757) 430-8189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206019
VA
Other
Enumeration date
07/09/2009
Last updated
07/30/2012
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