Individual
MACIE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 575-8129
Mailing address
5801 ARVIS DR, LOUISVILLE, KY 40258-3352
(502) 262-6318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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