Individual
JACLYN RENEE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20288 HIGHWAY 15 N, SUITE 100, HUTCHINSON, MN 55350-5684
(320) 587-2326
(320) 234-6358
Mailing address
1660 LINCOLN AVE, ST PAUL PARK, MN 55071-1249
(218) 791-6246
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104500
MN
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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