Individual
MRS. COURTNEY ANNE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
100 LYNWOOD AVE, SCRANTON, PA 18505-2868
(570) 346-7381
Mailing address
117 FARVIEW ST, CARBONDALE, PA 18407-1575
(570) 282-1117
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003110L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035238
COTA-L
PA
01
—
OP003110L
COTA-L
PA
Enumeration date
03/21/2007
Last updated
07/08/2007
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