Individual
BETH HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 ENGLAND ST, ASHLAND, VA 23005-2111
(804) 798-1482
Mailing address
1512 SPLIT OAK LN APT B, RICHMOND, VA 23229-5219
(804) 673-3991
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306601611
LICENSE#
VA
Enumeration date
11/02/2006
Last updated
07/08/2007
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