Individual
DR. HALEY TARRYN HAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12401 WILSHIRE BLVD STE 105, LOS ANGELES, CA 90025-1015
(310) 826-4100
Mailing address
12401 WILSHIRE BLVD STE 105, LOS ANGELES, CA 90025-1015
(310) 826-4100
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
295722
CA
2251X0800X
Orthopedic Physical Therapist
Primary
295722
CA
Other
Enumeration date
10/31/2018
Last updated
05/31/2019
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