Etheridge, Terrilyn

Etheridge, Terrilyn is an individual health care provider with primary practice located at 5900 Churchland Blvd , Portsmouth VA 23703-3313. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Etheridge, Terrilyn can be contacted via phone (757) 483-0333.

Contact Information

Primary practice address
5900 Churchland Blvd Portsmouth VA 23703-3313
Phone: (757) 483-0333
Fax: (757) 483-9359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305005821 Virginia

Profile Details

NPI number 1366564999
LBN Legal business name Etheridge, Terrilyn
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366564999 NPPES
Virginia Other 191880 ANTHEM BLUE CROSS
Virginia Other 371787 ANTHEM BLUE CROSS
Virginia Other 62413 ANTHEM BLUE CROSS
Virginia Other 808578 ANTHEM BLUE CROSS
Virginia Other 26207 ANTHEM BLUE CROSS

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