NPI | 1821379652 |
---|---|
Former Name | HALEY ALANA CODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2091940) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 2552) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2022-04-28 |