Individual
VICTOR HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
935 BLANKENSHIP RD APT 8, MARTINSVILLE, VA 24112-2137
(910) 853-1992
Mailing address
935 BLANKENSHIP RD APT 8, MARTINSVILLE, VA 24112-2137
(910) 853-1992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606294
VA
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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