Individual
HAYLEE RAE CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 NORTH WV-2, NEW MARTINSVILLE, WV 26155
(304) 455-5515
Mailing address
422 MOOSE RIDGE RD, WOODSFIELD, OH 43793-9252
(304) 639-2078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002550
WV
225200000X
Physical Therapy Assistant
012123
OH
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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