Individual
CAROL JULIE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3864 SWEETEN CREEK RD, ARDEN, NC 28704-3136
(828) 681-0904
Mailing address
45 TINA DR, FLETCHER, NC 28732-8518
(828) 687-3666
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1520
NC
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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