Individual
HALEY CODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1264 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-4929
(616) 888-7993
(616) 432-2924
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018850
MI
Other
Enumeration date
11/07/2018
Last updated
11/17/2023
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