Individual
HEATHER BAISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 447-3151
Mailing address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602501
VA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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