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Mary Laude Delgado-Medina

Physical Therapy Assistant in Richmond, VA. Individual provider (NPI-1).

NPI number1013213032
StatusActive
Last updated in NPPESFeb 9, 2011

Details

NPI
1013213032
Entity type
Individual (NPI-1)
Name
Mary Laude Delgado-Medina
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2011
Last updated
Feb 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306000751VAYes

Practice location

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Phone 804-675-5000

Mailing address

7300 Brandon Ln
Prince George, VA 23875-2984

Phone 804-675-5000

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