Individual
HAILEY MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
201 N 6TH ST APT #50, QUINTON, OK 74561
(918) 935-4638
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1911
OK
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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