Individual
MRS. DIANE K HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
397 LITTLE NECK RD, BUILDING 3300, SUITE 100, VIRGINIA BEACH, VA 23452-5765
(757) 639-3153
(757) 318-9151
Mailing address
2254A MAPLE ST, VIRGINIA BEACH, VA 23451-1308
(757) 639-3153
(757) 318-9151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003917
VA
Other
Enumeration date
10/24/2006
Last updated
05/26/2009
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