| Jace Depriest, | |
|
312 Green Hollow Ln, Sandston, VA 23150-2153 | |
| (804) 759-5005 | |
| Not Available |
| Full Name | Jace Depriest |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 312 Green Hollow Ln, Sandston, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538097530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jace Depriest, 312 Green Hollow Ln, Sandston, VA 23150-2153 Ph: () - | Jace Depriest, 312 Green Hollow Ln, Sandston, VA 23150-2153 Ph: (804) 759-5005 |
Mrs. Shereeta Mclane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Po Box 262, Sandston, VA 23150 Phone: 804-000-0000 | |
Professional Nursing Contracting Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Chartwood Ln, Sandston, VA 23150 Phone: 804-356-7353 |