NPI 1114391463

Sherman Board

Practitioner Physical Therapy Assistant Woodbridge, VA

Practice location

Address: 15058 Ardmore Loop, Woodbridge, VA 22193-1894
Phone: (321) 222-7524

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306603576 (VA)

Other Physical Therapy Assistant providers in Virginia →

Registry record

NPI: 1114391463
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Nov 2015
Record last updated: 24 Nov 2015

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.