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NPI Code Detail

MEDICARE: MRS. MILDRED HELENE HANDLEY PTA

MEDICARE:  MRS. MILDRED HELENE HANDLEY  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2306001525VA

General Provider Information

NPI Number : 1801886437
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MILDRED HELENE HANDLEY PTA
Provider Business Mailing Address
First Line : 120 FOUNDRY CT
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-4549
Country : US
Telephone Number : 757-314-7666
Fax Number : 757-314-7517
Provider Business Practice Location Address
First Line : 120 FOUNDRY CT
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-4549
Country : US
Telephone Number : 757-314-7666
Fax Number : 757-314-7517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. MILDRED HELENE HANDLEY PTA” Practice Location

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