Individual
MS. SUSAN LAURA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 PAINTER ST, GALAX, VA 24333-3830
(276) 236-5164
Mailing address
PO BOX 1192, HILLSVILLE, VA 24343-7192
(276) 733-2814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001501
VA
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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