Individual
HALEY VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14535 JOHN MARSHALL HWY, SUITE 203, GAINESVILLE, VA 20155-4023
(703) 753-0974
(703) 753-9709
Mailing address
14535 JOHN MARSHALL HWY, SUITE 203, GAINESVILLE, VA 20155-4023
(703) 753-0974
(703) 753-9709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209375
VA
Other
Enumeration date
09/09/2015
Last updated
02/15/2020
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