Individual
HENCY BAVARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
(703) 820-1488
Mailing address
5927 TRAILWATER RD, CHARLOTTE, NC 28278-6633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213535
VA
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/29/2018
Last updated
06/10/2020
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