Individual
HALEY ALEXANDRA KISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
5572 PRINCETON RD, LIBERTY TWP, OH 45011-9726
(513) 874-5505
Mailing address
6490 WEST RD, MAINEVILLE, OH 45039-8637
(513) 324-6417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442179
—
OH
Enumeration date
05/31/2019
Last updated
03/16/2025
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