Individual
AMY HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3943
(712) 276-3000
Mailing address
1900 S ROSWELL ST, SIOUX CITY, IA 51106-7110
(712) 202-0638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00884
IA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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