Individual
MRS. MARIA SOLEDAD AQUINO SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1235 S MOUNT VERNON AVE, WILLIAMSBURG, VA 23185-2835
(757) 208-7110
(757) 229-6625
Mailing address
835 SHARPLEY AVE, HAMPTON, VA 23666-2875
(757) 838-7463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211026
VA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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