Individual
CARRIE HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
420 W MAIN ST, DANVILLE, VA 24541-3612
(540) 797-0612
Mailing address
541 BRIDGE ST, APT. 501, DANVILLE, VA 24541-1451
(540) 797-0612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000918
VA
Other
Enumeration date
04/02/2015
Last updated
06/04/2015
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