Individual
HALEY IRENE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 N PARK ST STE M, CARROLLTON, GA 30117-2282
(770) 834-0873
(770) 834-6118
Mailing address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007650
GA
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/13/2020
Last updated
12/02/2024
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