Most Relevant Information
Provider Data
| NPI Number: | 1003258872 |
| Provider Name: | HALEY MARIE FISHER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | TE008577 |
Most Important Dates
| Enumeration Date: | 07/22/2013 |
| Last Updated: | 07/22/2013 |
Provider Practice Location
101 E STATE ST
KENNETT SQUARE
PA
193483109
Practice Location Phone/Fax
| Phone: | 6104446350 |
| Fax: |
Provider Mailing Location
697 N JAMES ST
HAZLETON
PA
182013053
Provider Mailing Phone/Fax
| Phone: | 5704542897 |
| Fax: |