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Individual

JUNMEI PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
901 ENTERPRISE PKWY, SUTIE 900, HAMPTON, VA 23666-6249
(757) 827-2481
(757) 282-5848
Mailing address
901 ENTERPRISE PKWY, SUTIE 900, HAMPTON, VA 23666-6249
(757) 827-2481
(757) 282-5848

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202833
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811141294
VA
Enumeration date
11/11/2008
Last updated
08/16/2013
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