Individual
HEATHER HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602051
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194409
ANTHEM
VA
01
—
45084
OPTIMA
VA
01
—
49-6679
MEDICARE
VA
05
—
49-7850-1
—
VA
Enumeration date
11/03/2015
Last updated
04/01/2026
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