Provider Demographics
NPI:1790425528
Name:HINSON, CHLOE MARINA (PT)
Entity Type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:MARINA
Last Name:HINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:MARINA
Other - Last Name:CECCHINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3844 OCEAN TIDES DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-2916
Mailing Address - Country:US
Mailing Address - Phone:478-213-6365
Mailing Address - Fax:
Practice Address - Street 1:828 HEALTHY WAY STE 110
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7958
Practice Address - Country:US
Practice Address - Phone:757-395-1960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305214135225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist