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NPI Code Detail

MEDICARE: MRS. WENDY LEE POPP M.S.,P.T

MEDICARE: MRS. WENDY LEE POPP M.S.,P.T
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 Therapist2305004305VA

General Provider Information

NPI Number : 1710943352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY LEE POPP M.S.,P.T
Provider Business Mailing Address
First Line : 1905 WINDINGRIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23238-3824
Country : US
Telephone Number : 804-754-8884
Fax Number :
Provider Business Practice Location Address
First Line : 3413 COX RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2001
Country : US
Telephone Number : 804-754-8884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 07/08/2007

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