Individual
MR. DONALD ALAN MILDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1024 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5503
(757) 460-3363
(757) 460-1809
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001466
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081988
ANTHEM - BCBS
VA
01
—
216563
MD.IPA/OPTIMUM CHOICE/ALL
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
11/30/2005
Last updated
04/27/2018
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