Provider Demographics
NPI:1568751261
Name:MEREDITH-SAUNDERS, DENISE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MEREDITH-SAUNDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:VA
Mailing Address - Zip Code:24324-0206
Mailing Address - Country:US
Mailing Address - Phone:540-616-6298
Mailing Address - Fax:
Practice Address - Street 1:3023 WHITE PINE LN
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:VA
Practice Address - Zip Code:24324-2720
Practice Address - Country:US
Practice Address - Phone:540-616-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306001079225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant