| NPI | 1790258945 |
|---|---|
| Former Name | HAVEN HELENBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210505) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02178500) |
| 225100000X Physical Therapist (Licence: NV 5183) | |
| 225100000X Physical Therapist (Licence: PA PT031661) | |
| 225100000X Physical Therapist (Licence: MA PTL27183) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-08-27 |