Individual
HEATHER WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4552 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(614) 940-6037
Mailing address
501 SHELL RD, CHESAPEAKE, VA 23323-3226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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