Organization
INDEPENDENCE PHYSICAL THERAPY LLC
Active
Parent organization
INDEPENDENCE PHYSICAL THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDENCE PHYSICAL THERAPY LLC
Authorized official
MISS GLADDYS O PASCO (OFFICE MANAGER)
(757) 497-7575
Entity
Organization
Contact information
Practice address
762 INDEPENDENCE BLVD STE B, VIRGINIA BEACH, VA 23455-6200
(757) 497-7575
(757) 490-1795
Mailing address
762 INDEPENDENCE BLVD STE B, VIRGINIA BEACH, VA 23455-6200
(757) 497-7575
(757) 490-1795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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