Individual
HAILEY SAMANTHA INGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4650 N CENTRAL AVE UNIT 113, PHOENIX, AZ 85012-1067
(201) 874-6351
Mailing address
9980 W GLENDALE AVE STE 110, GLENDALE, AZ 85307-3005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT033456
AZ
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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