Most Relevant Information
Provider Data
| NPI Number: | 1003633348 |
| Provider Name: | HALEY RENEE GRACE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 306811 |
Most Important Dates
| Enumeration Date: | 09/25/2024 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
16008 KAMANA RD STE 200&202B
APPLE VALLEY
CA
923071376
Practice Location Phone/Fax
| Phone: | 7608107767 |
| Fax: |
Provider Mailing Location
4783A GUADALCANAL ST
FORT IRWIN
CA
923101975
Provider Mailing Phone/Fax
| Phone: | 4237162641 |
| Fax: |