Individual
FRAVARTI PURVEYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 GREENWOOD DR, PORTSMOUTH, VA 23701-3250
(757) 654-1444
Mailing address
4201 GREENWOOD DR, PORTSMOUTH, VA 23701-3250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000947
VA
Other
Enumeration date
05/28/2022
Last updated
06/01/2022
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