MADELINE ELISE RIDOUT SANDIFER

VIRGINIA BEACH, VA
NPI1578145975
Former NameMADELINE ELISE RIDOUT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605752)
Enumeration Date2021-04-25
Last Update Date2021-04-25
Business Address
MADELINE ELISE RIDOUT SANDIFER LPTA
3100 SHORE DR
VIRGINIA BEACH, VA 23451-1199
Phone number: 800-392-9187
Mailing Address
MADELINE ELISE RIDOUT SANDIFER LPTA
2226 WOOD IBIS WAY
VIRGINIA BEACH, VA 23455-1565
Phone number: 757-408-0864
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