Individual
DR. HALEY PATZ NIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
520 FLYNN ST, ALVA, OK 73717-2240
(580) 327-3331
(580) 327-3314
Mailing address
112 BARNES AVE, ALVA, OK 73717-2344
(580) 430-8022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4878
OK
Other
Enumeration date
09/23/2019
Last updated
09/30/2019
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