Individual
RENEE ALISON HALLADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 S CRAPO ST, MOUNT PLEASANT, MI 48858-2944
(989) 773-5918
Mailing address
400 S CRAPO ST, MOUNT PLEASANT, MI 48858-2944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5502001629
—
MI
Enumeration date
04/23/2019
Last updated
06/11/2019
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