Individual
KIMBERLY SUSANN HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
925 WESTBANK DR STE 200, AUSTIN, TX 78746
(512) 306-8007
(512) 672-6178
Mailing address
925 WESTBANK DR. STE. 200, AUSTIN, TX 78746
(512) 306-8007
(512) 672-6178
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113708
TX
Other
Enumeration date
06/10/2010
Last updated
02/15/2011
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