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Individual

HALEY M EWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
890 WASHINGTON AVE STE 130-A, HOLLAND, MI 49423-7731
(616) 994-8136
(616) 994-8162
Mailing address
18000 COVE ST STE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501019661
STATE LICENSE
MI
Enumeration date
10/20/2020
Last updated
02/15/2024
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