Individual
BETH HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10417 LINDEN RD, GRAND BLANC, MI 48439-9351
(810) 624-2453
Mailing address
10417 LINDEN RD, GRAND BLANC, MI 48439-9351
(810) 624-2453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004710
MI
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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