Meredith A. Tice
Physical Therapist in Norfolk, VA. Individual provider (NPI-1).
NPI number1083136253
StatusActive
Last updated in NPPESMay 4, 2018
Details
- NPI
- 1083136253
- Entity type
- Individual (NPI-1)
- Name
- Meredith A. Tice
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2017
- Last updated
- May 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305211043 | VA | Yes |
Practice location
6161 Kempsville Cir Ste 250Norfolk, VA 23502-3950
Phone 757-965-4890 · Fax 757-965-4893
Mailing address
Po Box 69030Baltimore, MD 21264-9030
Phone 757-873-2302 · Fax 757-873-2306
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