Individual
HALEY MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12581 MILSTEAD WAY STE 302, WOODBRIDGE, VA 22192-5446
(703) 239-7336
Mailing address
523 OLD FORGE WAY, MADISON, VA 22727-4379
(540) 748-4385
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002897
VA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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