MEDICARE: IRINA L BELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2306604986	VA

General Provider Information

NPI Number	:	1730809898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINA L BELL

Provider Business Mailing Address
First Line	:	621 GREENCASTLE RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-2603
Country	:	US
Telephone Number	:	804-912-3454
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 DIAMOND DR
Second Line	:
City	:	NORTH DINWIDDIE
State	:	VA
Zip	:	23803-7495
Country	:	US
Telephone Number	:	804-518-0780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	08/30/2022

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Directions to “ IRINA L BELL ” Practice Location

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