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CHARLENE HEPPNER PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1043210891
Individual Registrant: CHARLENE HEPPNER PT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5128 PUMPHREY DR FAIRFAX, VA 22032-2720 US
Tel: 703-963-7831 Fax: --
Tel: 703-963-7831 Fax: --
Contact information for business:
5128 PUMPHREY DR FAIRFAX, VA 22032-2720 US
Tel: 703-963-7831 Fax: --
Tel: 703-963-7831 Fax: --
Registration Information:
NPI: 1043210891
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | VA | 2305204126 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
