Provider Demographics
NPI:1235350455
Name:HANSBERGER, ABIGAIL LOUISE (VATL, ATC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LOUISE
Last Name:HANSBERGER
Suffix:
Gender:F
Credentials:VATL, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TIMBERVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22853-9519
Mailing Address - Country:US
Mailing Address - Phone:540-896-2947
Mailing Address - Fax:
Practice Address - Street 1:250 RAM DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2246
Practice Address - Country:US
Practice Address - Phone:540-465-5195
Practice Address - Fax:540-465-5461
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260010932255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer