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Individual

HAYLIE KING

Active
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Individual

HAYLIE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT17994
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT17994
BOARD OF OCCUPATIONAL THERAPY OF CALIFORNIA
CA
Enumeration date
11/02/2017
Last updated
11/02/2017
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