Individual
ANDREW LAWRENCE SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12436 DILLINGHAM SQ, LAKE RIDGE, VA 22192-5258
(703) 717-7665
Mailing address
145 BRITTANY LN, SUFFOLK, VA 23435-1464
(757) 513-2626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212231
VA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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