Individual
TRUDY CAROL HAIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10420 BIG PINEY ROAD, RAPID CITY, SD 57702
(999) 999-9999
Mailing address
10420 BIG PINEY ROAD, RAPID CITY, SD 57702
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0096
SD
Other
Enumeration date
05/16/2008
Last updated
11/04/2009
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