Individual
JOSEPH M HART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 EMMET ST S, BOX 400407, CHARLOTTESVILLE, VA 22903-2455
(434) 924-6187
Mailing address
210 EMMET ST S, BOX 400407, CHARLOTTESVILLE, VA 22903-2455
(434) 924-6187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000331
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000331
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS LICENSE
VA
01
—
079702460
NATABOC CERTIFICATION NUMBER
—
Enumeration date
01/04/2016
Last updated
01/04/2016
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