Individual
HEIDI BARGABOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
15625 PICKETTS STORE PL, HAYMARKET, VA 20169-6144
(703) 989-3201
Mailing address
15625 PICKETTS STORE PL, HAYMARKET, VA 20169-6144
(703) 989-3201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603588
VA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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