Individual
PATRICIA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 RAY C HUNT DR RM 210, CHARLOTTESVILLE, VA 22903-2981
(434) 243-0311
Mailing address
2417 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-1621
(434) 953-5927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306601906
LICENSE #
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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