Provider Demographics
NPI:1518996610
Name:HOULE, GEORGE (PT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:HOULE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 GREENBRIER CIR
Mailing Address - Street 2:SUITE F
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2643
Mailing Address - Country:US
Mailing Address - Phone:757-547-5145
Mailing Address - Fax:757-436-2480
Practice Address - Street 1:501 DISCOVERY DRIVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-547-5145
Practice Address - Fax:757-547-4976
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist