Individual
CAROLINE BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CROFTON PL, PALMYRA, VA 22963
(434) 589-9588
(434) 589-4096
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211118
VA
225100000X
Physical Therapist
PT 43131
CA
Other
Enumeration date
12/15/2015
Last updated
09/04/2019
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