Individual
HAILEY JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6821 CREEK VALE WAY APT 1A, INDIANAPOLIS, IN 46237-9526
(812) 584-8432
Mailing address
6821 CREEK VALE WAY APT 1A, INDIANAPOLIS, IN 46237-9526
(812) 584-8432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005074A
IN
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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