Individual
MS. SHANNON M. HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2290
(617) 855-3776
Mailing address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-2290
(617) 855-3776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5777
MA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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