Individual
HALEY NICOLE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 MIDWAY DR, TEMPLE, TX 76502-1468
(903) 342-6790
Mailing address
124 GREENTREE DR, CRAWFORD, TX 76638-2770
(254) 652-0639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138530
TX
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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