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Individual

MRS. DARLA GAY WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
203 NORTH MAIN STREET, PEARISBURG, VA 24134
(540) 599-0299
Mailing address
203 NORTH MAIN STREET, PEARISBURG, VA 24134
(540) 599-0299

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006158
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
275108
MAMSI
01
460250
ANTHEM BCBS
01
7526392
AETNA
Enumeration date
05/03/2006
Last updated
04/29/2011
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