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HALEY ALLEN

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1669033056

Individual Registrant:
 HALEY  ALLEN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1225 BROADRICK DR  DALTON, GA 30720-2504 US
Tel: 706-272-6199  Fax: 706-281-5618

Contact information for business:
1225 BROADRICK DR  DALTON, GA 30720-2504 US
Tel: 706-272-6199  Fax: 706-281-5618

Registration Information:
NPI: 1669033056
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
GAOT007354
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
TN7029

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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