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Organization

HAYGOOD PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD ALAN MILDREW P.T. (OWNER/PRESIDENT/PHYSICAL THERAPIST)
(757) 460-3363
Entity
Organization

Contact information

Practice address
1024 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5503
(757) 460-1809
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 460-1809

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081242
ANTHEM
VA
Enumeration date
05/19/2006
Last updated
08/17/2018
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