| Doctor Name: | LOUISE ELIZABETH JEFFERSON |
| NPI Number: | 1184801896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, PT |
| License Number: | 2305202234 |
| Business Practice Address: | 729 Thimble Shoals Blvd Bldg. 4, Suite C Newport News, VA - 236064217 |
| Business Phone Number: | 7578732932 |
| Business Fax Number: | 7578738780 |
| Mailing Address: | 11842 Rock Landing Dr, Suite 117 NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236064437 |
| Phone Number: | 7575912022 |
| Fax Number: | 7575912075 |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305202234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |