Individual
MRS. ALLISON GRACE BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8911 MAPLEVIEW AVE, HENRICO, VA 23294-6112
(757) 869-7906
Mailing address
8911 MAPLEVIEW AVE, HENRICO, VA 23294-6112
(757) 869-7906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604997
VA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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