Basic Information
| Provider Information | |||||||||
| NPI: | 1790846327 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAMES | ||||||||
| FirstName: | HELEN | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1521 CHANDON CRES | ||||||||
| Address2: | |||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234541367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574963102 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | HAYGOOD PHYSICAL THERAPY, PC | ||||||||
| Address2: | 1024 INDEPENDENCE BLVD | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574603363 | ||||||||
| FaxNumber: | 7574601809 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305000241 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 36023 | 01 | VA | SENTARA | OTHER | 194443 | 01 | VA | ANTHEM | OTHER |