Individual
HALEY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 LINDSEY LN # A, KINGSLAND, GA 31548-6850
(912) 729-1333
(912) 729-5259
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011347
GA
Other
Enumeration date
01/02/2014
Last updated
05/31/2024
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