Individual
MARIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14366 SOMMERVILLE CT, MIDLOTHIAN, VA 23113
(804) 601-4774
Mailing address
PO BOX 4246, RICHMOND, VA 23220-8246
(757) 817-5241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210339
VA
Other
Enumeration date
04/04/2017
Last updated
11/05/2018
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