Individual
ABIGAIL N. BARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3510 ANDERSON HWY, SUITE 102, POWHATAN, VA 23139-5846
(804) 598-2100
(804) 598-7624
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208283
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174957005
MEDICAID QMB
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
08/28/2013
Last updated
09/08/2014
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