Doctor Name: | MRS. VIRGINIA BROOKE VANRENSSELAER |
NPI Number: | 1366634230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305205118 |
Business Practice Address: | 3514 Mayland Ct Richmond, VA - 232331421 |
Business Phone Number: | 8047470003 |
Business Fax Number: | 8047470043 |
Mailing Address: | Po Box 5820, GLEN ALLEN |
State: | VA |
Postal Code: | 230585820 |
Phone Number: | 8047470003 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2305205118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |