Provider Demographics
NPI:1730461468
Name:HALSTEAD, ANGELINE RUTH (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELINE
Middle Name:RUTH
Last Name:HALSTEAD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 TAFT AVE
Mailing Address - Street 2:APT 4
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3693
Mailing Address - Country:US
Mailing Address - Phone:814-558-9719
Mailing Address - Fax:
Practice Address - Street 1:160 EXETER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-8614
Practice Address - Country:US
Practice Address - Phone:540-665-1681
Practice Address - Fax:540-665-1681
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207119225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist