Provider Demographics
NPI:1427516988
Name:PERSONAL TOUCH THERAPY
Entity type:Organization
Organization Name:PERSONAL TOUCH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEVIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:757-576-7274
Mailing Address - Street 1:1304 DOMINION LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-6451
Mailing Address - Country:US
Mailing Address - Phone:757-576-7274
Mailing Address - Fax:
Practice Address - Street 1:1304 DOMINION LAKES BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-6451
Practice Address - Country:US
Practice Address - Phone:757-576-7274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty