Individual
MRS. JENNIFER MICHAELIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
28 E BIG SKY DR, HAMPTON, VA 23666-1586
(757) 395-7073
Mailing address
28 E BIG SKY DR, HAMPTON, VA 23666-1586
(757) 395-7073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204348
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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