Individual
HAYLIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
Mailing address
11205 KNOTT AVE STE E, CYPRESS, CA 90630-5489
(714) 893-7399
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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