Individual
ELIZABETH HASENFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5217
(757) 420-3600
Mailing address
936 BERYL AVE, VIRGINIA BEACH, VA 23464-3941
(443) 801-4870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001267
VA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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