Individual
HEATHER TINNEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10340 SPOTSYLVANIA AVE, SUITE 202, FREDERICKSBURG, VA 22408-8608
(540) 834-2265
(540) 834-4221
Mailing address
10740 CATHARPIN RD, SPOTSYLVANIA, VA 22553-3923
(540) 972-2453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305000525
VA
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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