NPI 1013360296

Renee Puddester

Practitioner Physical Therapy Assistant Virginia Beach, VA

Practice location

Address: 4560 South Blvd Suite 310, Virginia Beach, VA 23452-1160
Phone: (757) 490-3223

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306000253 (VA)

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Registry record

NPI: 1013360296
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2016
Record last updated: 22 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.