Individual
HALEY MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 845-7000
Mailing address
5699 BRIARDALE CT APT B, DUBLIN, OH 43016-5248
(650) 391-8654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019680
OH
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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