Provider Demographics
NPI:1770827164
Name:GLOVER, VIRGINIA A (MS)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:A
Last Name:GLOVER
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Gender:F
Credentials:MS
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Mailing Address - Street 1:3309 BROOKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-4001
Mailing Address - Country:US
Mailing Address - Phone:757-314-7616
Mailing Address - Fax:757-314-7517
Practice Address - Street 1:576 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-1373
Practice Address - Country:US
Practice Address - Phone:757-314-7616
Practice Address - Fax:757-314-7517
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist