Individual
REBECCA PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 MARYWOOD LN, RICHMOND, VA 23229-6059
(804) 741-0612
Mailing address
1257 MARYWOOD LN, RICHMOND, VA 23229-6059
(804) 741-0612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604213
VA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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