Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 2305213885 | VA |
NPI | 1093317455 |
---|---|
Provider Name | Allie Hylton |
First Address | Danville, VA 24540-2863 |
Second Address | Danville, VA 24540-2863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2020 |
Last Update Date | 11/11/2020 |