Individual
HALEY FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/LOTR
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
4712 RUE LAURENT, METAIRIE, LA 70002-1553
(504) 460-0940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2734
ID
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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