Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2305003478 | VA |
NPI | 1194258103 |
---|---|
Provider Name | Preeti Verma |
First Address | Glen Allen, VA 23059-5399 |
Second Address | Glen Allen, VA 23059-5399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2017 |
Last Update Date | 06/04/2017 |