Individual
HALEIGH PERRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 N 15TH ST APT 1124C, PHILADELPHIA, PA 19121-3482
(412) 427-8501
Mailing address
1601 N 15TH ST APT 1124C, PHILADELPHIA, PA 19121-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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