Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Idul

Individual provider Physical Therapist · NPI 1780314682

Mariah Idul is a Physical Therapist in Chesapeake, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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Practice location Address checks out

501 Discovery Dr
Chesapeake, VA 23320-3832
Phone: (757) 547-5145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305214983 (VA)

Record details

NPI number1780314682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address4084 Concordia Way, Virginia Beach, VA 23453-1760

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