| NPI | 1912963489 |
|---|---|
| Former Name | VIRGINIA CAROL HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 10418) |
| 225100000X Physical Therapist (Licence: CO 2205) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |