Individual
HALEY FORKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-5633
Mailing address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004
WV
225X00000X
Occupational Therapist
OC016023
PA
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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