| NPI | 1356653406 |
|---|---|
| Former Name | HALEY ANN YEADON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0011567) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6281) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2013-01-30 |