Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2305204051 | VA |
NPI | 1003211368 |
---|---|
Provider Name | Heather D'arcy |
First Address | Fishersville, VA 22939 |
Second Address | Fishersville, VA 22939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2014 |
Last Update Date | 29/10/2014 |