NPI | 1881049922 |
---|---|
Former Name | HALEY FAYE LAFLEUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62370) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: OR 62370) |
225100000X Physical Therapist (Licence: CA 291238) | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2025-10-06 |