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Individual

ELAINE M HOUSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
7190 CHAPMAN DR, HAYES, VA 23072-3416
(804) 642-3028
(804) 642-3467
Mailing address
771 PILOT HOUSE DR, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206827
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558668236
VA
01
192962
BCBS (PHYSICAL THERAPY)
VA
Enumeration date
02/16/2011
Last updated
05/10/2011
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