Individual
MRS. LINDA CAROL OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5265 PROVIDENCE RD, SUITE 503, VIRGINIA BEACH, VA 23464-4206
(757) 523-4705
(757) 523-4653
Mailing address
5265 PROVIDENCE RD, SUITE 503, VIRGINIA BEACH, VA 23464-4206
(757) 581-4892
(757) 523-4653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002340
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239374
BC BS
VA
Enumeration date
01/19/2007
Last updated
02/23/2016
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