Individual
HALEY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0048
Mailing address
7595 S MISSISSIPPI RIVER RD, GOLDEN EAGLE, IL 62036-2134
(618) 520-7122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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