Doctor Name: | TERESA SWEENEY KLOTZ |
NPI Number: | 1003062563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.V.T. |
License Number: | |
Business Practice Address: | 9100 Hammett Ave Norfolk, VA - 235033514 |
Business Phone Number: | 7575871295 |
Business Fax Number: | |
Mailing Address: | 9100 Hammett Ave, NORFOLK |
State: | VA |
Postal Code: | 235033514 |
Phone Number: | 7575871295 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |