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NPI Code Detail

MEDICARE: ANNA HAYES MPT

MEDICARE: ANNA HAYES MPT
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
1225100000XPhysical Therapist40QA01158400NJ
2225100000XPhysical Therapist2305204784VA

General Provider Information

NPI Number : 1417926494
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA HAYES MPT
Provider Business Mailing Address
First Line : 4560 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7905
Country : US
Telephone Number : 757-474-1249
Fax Number : 757-474-0193
Provider Business Practice Location Address
First Line : 4560 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-7905
Country : US
Telephone Number : 757-474-1249
Fax Number : 757-474-0193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 08/05/2011

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Directions to “ ANNA HAYES MPT” Practice Location

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