Individual
KATHRYN PEARMAN MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
46 DIAMOND DR, PETERSBURG, VA 23803-7495
(804) 861-1324
Mailing address
5436 GILLING RD, RICHMOND, VA 23234-5238
(804) 986-2411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001028
VA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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