Individual
KARLA M HAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1506 BIRCH CT, EDWARDSVILLE, IL 62025-5576
(618) 550-9479
Mailing address
1506 BIRCH CT, EDWARDSVILLE, IL 62025-5576
(618) 550-9479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000818
IL
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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