MEDICARE: MRS. JOAN E HELBLE

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
1	225100000X	Physical Therapist	2305000958	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2305000958	OTHER	VA	PT

General Provider Information

NPI Number	:	1194949933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOAN E HELBLE

Provider Business Mailing Address
First Line	:	16703 WOODCHASE LN
Second Line	:
City	:	ROUND HILL
State	:	VA
Zip	:	20141-2344
Country	:	US
Telephone Number	:	540-554-8368
Fax Number	:

Provider Business Practice Location Address
First Line	:	16703 WOODCHASE LN
Second Line	:
City	:	ROUND HILL
State	:	VA
Zip	:	20141-2344
Country	:	US
Telephone Number	:	540-554-8368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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