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Contact Information

HEATHER L BROACH, PT, DPT
2331 SEMINOLE LN STE 103
CHARLOTTESVILLE, VA22901
 Phone: 432-428-4789
 Fax: 434-529-6985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for HEATHER L BROACH · (Female)

NPI # 1114389640
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 03/23/2016
Last updated 12/28/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 291242
  • VA License # 2305211770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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