| NPI | 1962224766 |
|---|---|
| Former Name | HAILEY MACKENZIE HOPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 49821) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 014806) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2026-04-09 |