Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather D Baccus

Individual provider Physical Therapy Assistant · NPI 1083245880

Heather D Baccus is a Physical Therapy Assistant in Hertford, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
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Practice location Address checks out

626 Swing Gate Rd
Hertford, NC 27944-8771
Phone: (252) 339-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A7095 (NC)

Record details

NPI number1083245880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address626 Swing Gate Rd, Hertford, NC 27944-8771

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