Individual
EDWARD N HAYDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5818 HARBOUR VIEW BLVD # D, SUITE0150, SUFFOLK, VA 23435-3315
(757) 215-1400
(757) 215-1403
Mailing address
5818 HARBOUR VIEW BLVD # D, SUITE0150, SUFFOLK, VA 23435-3315
(757) 215-1400
(757) 215-1403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205941
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019389
OPTIMA
VA
01
—
192074
ANTHEM BLUE CROSS BLUE SHIELD
VA
Enumeration date
06/01/2009
Last updated
05/03/2017
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