Individual
BRENTL GERARD HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1201 W CAMP WISDOM RD, DALLAS, TX 75232
(817) 784-6323
(817) 784-6323
Mailing address
PO BOX 180535, ARLINGTON, TX 76096
(817) 784-6323
(817) 754-6323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1014710
—
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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