Individual
HALEY MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
Mailing address
1318 W GEORGE ST APT 2A, CHICAGO, IL 60657-4127
(402) 598-9629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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