Individual
MARY BETH HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10626 CLEMSON BLVD, SENECA, SC 29678-4526
(846) 482-0085
(864) 482-0082
Mailing address
224 TAMARACK DR, SENECA, SC 29678-3785
(864) 940-3317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5835
SC
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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