Individual
HALEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 HUNTER ST, ESPANOLA, NM 87532-2656
(618) 447-2422
Mailing address
1225 BROADRICK DR, DALTON, GA 30720-2504
(706) 272-6199
(706) 281-5618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4660
NM
225X00000X
Occupational Therapist
7029
TN
225X00000X
Occupational Therapist
OT007354
GA
Other
Enumeration date
06/26/2019
Last updated
01/27/2023
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