Organization
LONGEVITY INSTITUTE OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TWILA MARIE RUEFER DPT (OWNER, FOUNDER, CLINICAL DIRECTOR)
(757) 219-2873
Entity
Organization
Contact information
Practice address
2236 GENERAL BOOTH BLVD STE 104, VIRGINIA BEACH, VA 23456-4092
(757) 219-2873
Mailing address
2412 CAMINO REAL S, VIRGINIA BEACH, VA 23456-4242
(619) 822-9571
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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