Individual
HALEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
162 MAIN ST, HAMBURG, NY 14075-4917
(877) 246-2396
Mailing address
85 LAKE ST, ANGOLA, NY 14006-1209
(716) 997-4526
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024912
NY
Other
Enumeration date
08/17/2020
Last updated
06/29/2024
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