Individual
HALEY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
120 SEMINARY AVE, AUBURNDALE, MA 02466-2650
(617) 663-7100
Mailing address
1400 WORCESTER RD APT 7407, FRAMINGHAM, MA 01702-8929
(502) 718-7768
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
KY
225X00000X
Occupational Therapist
Primary
14567
MA
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
10/23/2018
Last updated
08/04/2022
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