Individual
HAILEY HOVELSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9085 E MOUNTAIN VIEW RD, PRESCOTT VALLEY, AZ 86315-4181
(928) 499-7066
Mailing address
9085 E MOUNTAIN VIEW RD, PRESCOTT VALLEY, AZ 86315-4181
(928) 499-7066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-04212
AZ
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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