Individual
MRS. BARB HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 N MAIN ST, CANTON, IL 61520-1032
(309) 647-6135
Mailing address
2081 N MAIN ST, CANTON, IL 61520-1032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000128
IL
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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