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Colleen M Whiteford, PT
Specialist in Broadway, Virginia
NPI 1639168321

Colleen M Whiteford is a Specialist based in Broadway, VA. Colleen M Whiteford practices in Broadway, VA and has the professional credentials of PT. The NPI Number for Colleen M Whiteford is 1639168321 and holds a License No. 2305002987 (Virginia).

The current practice location address for Colleen M Whiteford is 171 E Springbrook Rd, Broadway, VA and can be reached out via phone at 540-901-9501 and via fax at 540-901-8773.

Location: 171 E Springbrook Rd, Broadway, VA, 22815-9526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639168321
Provider Name
Colleen M Whiteford
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
171 E Springbrook Rd, Broadway, VA, 22815-9526
Phone Number
540-901-9501
Fax Number
540-901-8773
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
194034 01 VA ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
171 E Springbrook Rd
City
Broadway
State
Virginia
Zip
22815-9526
Phone Number
540-901-9501
Fax Number
540-901-8773
person
Provider Business Mailing Address Details
Address
171 E Springbrook Rd
City
Broadway
State
Virginia
Zip
22815-9526
Phone Number
540-901-9501
Fax Number
540-901-8773
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2305002987 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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