Individual
SARAH KIRACOFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1000 FAIRVIEW AVE, CLIFTON FORGE, VA 24422-1873
(540) 862-9555
(540) 863-9981
Mailing address
1110 POTTS CREEK RD, COVINGTON, VA 24426-6908
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602226
VA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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