Provider Demographics
NPI:1437859634
Name:DILL, EUN HWA (LMT)
Entity Type:Individual
Prefix:
First Name:EUN HWA
Middle Name:
Last Name:DILL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 BAYSIDE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3014
Mailing Address - Country:US
Mailing Address - Phone:757-359-9847
Mailing Address - Fax:
Practice Address - Street 1:5741 BAYSIDE RD STE 101
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-3014
Practice Address - Country:US
Practice Address - Phone:757-359-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019006694172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist