Individual
CARLY JO HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5905 RUBY WOODS TRL, DOVER, FL 33527-4259
(210) 677-5272
Mailing address
5905 RUBY WOODS TRL, DOVER, FL 33527-4259
(210) 677-5272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26508
FL
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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