Individual
TERESA Y HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
83 CROSS ROAD LN, FISHERSVILLE, VA 22939-2331
(540) 885-8224
Mailing address
83 CROSS ROAD LN, FISHERSVILLE, VA 22939-2331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000454
VA
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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