Individual
BERNADINE GEMMA AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
134 CECIL D QUILLEN DR, DUFFIELD, VA 24244-9726
(276) 431-3141
(276) 431-3143
Mailing address
9790 TANGLEWOOD DRIVE, WISE, VA 24293
(276) 356-2698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005934
VA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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