HEATHER D BACCUS

HERTFORD, NC
NPI1083245880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  a7095)
Enumeration Date2020-01-30
Last Update Date2020-01-30
Business Address
HEATHER D BACCUS
626 SWING GATE RD
HERTFORD, NC 27944-8771
Phone number: 252-339-5251
Mailing Address
HEATHER D BACCUS
626 SWING GATE RD
HERTFORD, NC 27944-8771
Phone number:
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