Individual
HEATHER LYNN BAUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
103 E PATRICK ST, ASHLAND, VA 23005-1646
(804) 752-3215
Mailing address
2839 THURLOE DR, NORTH CHESTERFIELD, VA 23235-3149
(203) 927-5782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000880
VA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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