Individual
ALLISON HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5716 CLEVELAND ST, VIRGINIA BEACH, VA 23462-1784
(260) 494-6497
Mailing address
4432 BONNEY RD, UNIT 308, VIRGINIA BEACH, VA 23462-3889
(260) 494-6497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2014
Last updated
10/10/2016
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