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General NPI Number Information
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NPI Number | 1346277316
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Entity Type | Organization
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Legal Business Name | HEALING HANDS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 676 BATTLEFIELD BLVD N STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0306
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Country | US
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Telephone | 757-436-2695
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Fax | 757-436-2697
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Provider Business Mailing Address
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Address Line | 676 BATTLEFIELD BLVD N STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0306
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Country | US
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Telephone | 757-436-2695
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Fax | 757-436-2697
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELLE CAMPBELL DOUGLAS
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Credential | DPT
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Telephone | 757-436-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305005425
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305202603
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License Number State | VA
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