Individual
JAIME HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 LAURELWOOD AVE, LOUISVILLE, KY 40220-1140
(502) 396-0745
Mailing address
4100 LAURELWOOD AVE, LOUISVILLE, KY 40220-1140
(502) 396-0745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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