Individual
HALEY NICHOLE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5042 42ND ST S, ST PETERSBURG, FL 33711-4720
(727) 612-7115
Mailing address
1120 60TH ST S, GULFPORT, FL 33707-3205
(727) 612-7115
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
24028
FL
Other
Enumeration date
05/04/2023
Last updated
01/05/2026
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