Provider Demographics
NPI:1679994982
Name:HELMUS, VIRGINIE LALANDE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIE
Middle Name:LALANDE
Last Name:HELMUS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 RIVERLOOK LN
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-6587
Mailing Address - Country:US
Mailing Address - Phone:630-776-4870
Mailing Address - Fax:
Practice Address - Street 1:115 RIVERLOOK LN
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-6587
Practice Address - Country:US
Practice Address - Phone:630-776-4870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-05
Last Update Date:2014-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7197225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist