Individual
MS. REBECCA LORRAINE HAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
252 W. FIFTH ST., LACENTER, KY 42056-0269
(270) 665-5681
Mailing address
1608 PEARL ST, ELDORADO, IL 62930
(931) 581-5025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A2497
KY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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