Individual
MR. JOHN MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
762 INDEPENDENCE BLVD STE 772, VIRGINIA BEACH, VA 23455-6200
(757) 228-5201
(757) 481-6175
Mailing address
PO BOX 5982, VIRGINIA BEACH, VA 23471-0982
(757) 228-5201
(757) 481-6175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005250
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010338255
—
VA
05
—
010338298
—
VA
05
—
010338310
—
VA
05
—
010338344
—
VA
05
—
010338361
—
VA
05
—
010340241
—
VA
Enumeration date
12/22/2005
Last updated
03/03/2011
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