Individual
MARY HESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7217 W BROAD ST, RICHMOND, VA 23294-3635
(804) 672-1871
Mailing address
3918 HAMLIN TER, CHESTER, VA 23831-1254
(804) 768-1227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306001551
LICENSE#
VA
Enumeration date
11/09/2006
Last updated
07/08/2007
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