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NPI Code Detail

MEDICARE: JOANN J ABBOTT LMT

MEDICARE:   JOANN J ABBOTT  LMT
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
1225700000XMassage Therapist0019013894VA

General Provider Information

NPI Number : 1366921710
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN J ABBOTT LMT
Provider Business Mailing Address
First Line : 2505 LOWER GREENS PL
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3564
Country : US
Telephone Number : 757-375-8405
Fax Number :
Provider Business Practice Location Address
First Line : 4646 PRINCESS ANNE RD STE 103
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6464
Country : US
Telephone Number : 757-375-8405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2018
Last Update Date : 08/07/2018

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Directions to “ JOANN J ABBOTT LMT” Practice Location

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