Individual
HALEY FAIN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5310 MATT HWY STE 105, CUMMING, GA 30028-8611
(470) 239-4255
(470) 427-2997
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT007277
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT007277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003215873C
—
GA
Enumeration date
02/18/2019
Last updated
04/29/2021
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