Individual
HALEY TUTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
538 MENGE AVE, PASS CHRISTIAN, MS 39571-4234
(228) 452-4344
Mailing address
16120 N APRIL DR, GULFPORT, MS 39503-4178
(662) 251-8655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-6518
MS
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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