Individual
ROBERTA T. HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3940 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4513
(703) 680-0600
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601778
VA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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