Individual
AMY MICHELLE HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-4039
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-4039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 36604
CA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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