Individual
NANCY H HAKALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3910 OLD BUCKINGHAM RD, POWHATAN, VA 23139-5719
(804) 598-2200
(804) 598-3114
Mailing address
PO BOX 189, GOOCHLAND, VA 23063-0189
(804) 556-5400
(804) 556-5403
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305000885
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106314
ANTHEM
VA
01
—
10863
VALUE OPTIONS
VA
01
—
244011
MAMSI
VA
01
—
44157
SENTARA
VA
Enumeration date
05/26/2006
Last updated
07/08/2007
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