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Individual

HALEY K VAN ENS

Active
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Individual

HALEY K VAN ENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60335722
WA
225X00000X
Occupational Therapist
TL60335186
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2029332
WA
01
313602
LABOR & INDUSTRIES
WA
01
P01257956
RR MEDICARE
WA
Enumeration date
03/04/2013
Last updated
11/19/2020
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