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Individual

MRS. EDEN SURBAUGH HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
92 QUAIL OAKS HOLLOW RD, MARTINSVILLE, VA 24112-8301
(276) 638-5307
Mailing address
92 QUAIL OAKS HOLLOW RD, MARTINSVILLE, VA 24112-8301
(276) 638-5307

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601044
VA

Other

Enumeration date
05/27/2013
Last updated
05/27/2013
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