Individual
ELIJAH HAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8505 MIDLOTHIAN TPKE STE A, NORTH CHESTERFIELD, VA 23235-5123
(804) 330-3860
Mailing address
8505 MIDLOTHIAN TPKE STE A, NORTH CHESTERFIELD, VA 23235-5123
(804) 330-3860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215128
VA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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