Provider Demographics
NPI:1134404023
Name:FINCHAM, HEATHER ABBE (ATC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ABBE
Last Name:FINCHAM
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:VA
Mailing Address - Zip Code:22812-1635
Mailing Address - Country:US
Mailing Address - Phone:540-828-2008
Mailing Address - Fax:540-828-4764
Practice Address - Street 1:800 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:VA
Practice Address - Zip Code:22812-1635
Practice Address - Country:US
Practice Address - Phone:540-828-2008
Practice Address - Fax:540-828-4764
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260000332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer