Individual
HAYLEY BALENSEIFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1809 BENTHAM CT, YUKON, OK 73099-7929
(580) 704-9750
Mailing address
1809 BENTHAM CT, YUKON, OK 73099-7929
(580) 704-9750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5016
OK
Other
Enumeration date
10/18/2015
Last updated
10/18/2015
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