Individual
KIERSTEN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455-6423
(757) 648-8562
Mailing address
1345 ENTERPRISE DRIVE, WEST CHESTER, PA 19380-4278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215980
VA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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