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Individual

NICOLE R HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
21475 RIDGETOP CIR, SUITE 100, STERLING, VA 20166-6580
(703) 433-2500
(703) 433-2558
Mailing address
44011 KINGS ARMS SQ, ASHBURN, VA 20147-4880
(703) 433-2500
(703) 433-2558

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602054
VA

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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