Individual
HALEY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DROT
Contact information
Practice address
511 W CHESTER PIKE, HAVERTOWN, PA 19083-4524
(717) 413-6302
Mailing address
19 W LANCASTER AVE APT A, ARDMORE, PA 19003-1442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015835
PA
225XP0200X
Pediatric Occupational Therapist
OC015835
PA
Other
Enumeration date
10/30/2018
Last updated
11/09/2023
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