Individual
ELIZABETH RACETTE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004084800
—
FL
01
—
Z03MB
BCBS
FL
Enumeration date
09/09/2011
Last updated
01/30/2012
Update your record
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