Wendy B Jaffe, Pt, PLLC
Physical Therapist, Pediatrics in Virginia Beach, VA. Organization (NPI-2).
NPI number1124154471
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124154471
- Entity type
- Organization (NPI-2)
- Legal business name
- Wendy B Jaffe, Pt, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 2305005698 | VA | Yes |
Other names
- Pediatric Evaluation And Developmental Services (Doing Business As)
Practice location
2525 Inlynnview RdVirginia Beach, VA 23454-1846
Phone 757-268-2604
Mailing address
2525 Inlynnview RdVirginia Beach, VA 23454-1846
Phone 757-268-2604
Authorized official
Wendy B Jaffe
Owner
7572682604
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