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NPI Code Detail

MEDICARE: MS. CHRISTIANA NENNEH N'YING-MARSHALL PT

MEDICARE: MS. CHRISTIANA NENNEH N'YING-MARSHALL PT
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
1225100000XPhysical Therapist2305002965VA

General Provider Information

NPI Number : 1053587170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTIANA NENNEH N'YING-MARSHALL PT
Provider Business Mailing Address
First Line : 427 RHODE ISLAND AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23508-2141
Country : US
Telephone Number : 757-625-0010
Fax Number :
Provider Business Practice Location Address
First Line : 827 NORVIEW AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1540
Country : US
Telephone Number : 757-853-6281
Fax Number : 757-852-3528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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