Individual
SEANELLE A THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
Mailing address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604937
VA
Other
Enumeration date
04/13/2022
Last updated
04/22/2022
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