Individual
MRS. JENNIFER L VANDERGRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1344 NOVER AVE, ROANOKE, VA 24019-3921
(540) 598-6259
Mailing address
1344 NOVER AVE, ROANOKE, VA 24019-3921
(540) 598-6259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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