| NPI | 1578141990 |
|---|---|
| Former Name | HALEY MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT015796) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0017520) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2023-09-13 |