Provider Demographics
NPI:1790846327
Name:JAMES, HELEN A (PT)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:A
Last Name:JAMES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 CHANDON CRES
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-1367
Mailing Address - Country:US
Mailing Address - Phone:757-496-3102
Mailing Address - Fax:
Practice Address - Street 1:HAYGOOD PHYSICAL THERAPY, PC
Practice Address - Street 2:1024 INDEPENDENCE BLVD
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455
Practice Address - Country:US
Practice Address - Phone:757-460-3363
Practice Address - Fax:757-460-1809
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305000241225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA36023OtherSENTARA
VA194443OtherANTHEM