Provider Demographics
NPI:1588758072
Name:HANEY, ARLAND OWEN (PT)
Entity type:Individual
Prefix:
First Name:ARLAND
Middle Name:OWEN
Last Name:HANEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 BALLANCE CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-4492
Mailing Address - Country:US
Mailing Address - Phone:757-483-8060
Mailing Address - Fax:
Practice Address - Street 1:5838 HARBOUR VIEW BLVD
Practice Address - Street 2:PHYSICAL THERAPY AT OSC HARBOUR VIEW
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435
Practice Address - Country:US
Practice Address - Phone:757-483-9672
Practice Address - Fax:757-483-9512
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00654793Medicare PIN
VAMC11430Medicare PIN