Individual
SARA HUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
765 NORTHUMBERLAND HWY, CALLAO, VA 22435-2206
(804) 529-5178
Mailing address
PO BOX 197, CALLAO, VA 22435-0197
(804) 529-5178
(804) 529-5179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604694
VA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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