Individual
JACQUELYN BRADY HAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L CLT
Contact information
Practice address
787 37TH ST STE E100, VERO BEACH, FL 32960-7304
(772) 569-9747
(772) 569-9979
Mailing address
787 37TH ST STE E100, VERO BEACH, FL 32960-7304
(772) 569-9747
(772) 569-9979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12498
FL
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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