Individual
LAUREL HAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 JOHNSON ESTATE RD, CLAYTON, NC 27520-9289
(919) 359-3878
Mailing address
115 E CHALFONT WAY APT A, CARY, NC 27513-4199
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9845
NC
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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