Individual
MRS. JAQUETTA L HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2722 OLD ANSON RD, ABILENE, TX 79603-1834
(325) 676-1677
Mailing address
3124 PRIMROSE DR, ABILENE, TX 79606-3327
(325) 793-1636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2039493
TX
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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