National Provider Identifier
Haley Elizabeth Wallace, OTR/L
Haley Elizabeth Wallace, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1396220398
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 26, 2018
- Last Updated
- September 26, 2018
Practice Location
- 590 Fishers Station Dr Ste 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Mailing Address
- 10 Cedarwood RD
- Rochester, NY 14617-3834
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1396220398
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Haley
- Middle Name
- Elizabeth
- Name Prefix
- MS.
- Credential
- OTR/L
- Mailing Street Address
- 10 Cedarwood RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3834
- Mailing Country
- US
- Mailing Phone
- (585) 402-1875
- Practice Street Address
- 590 Fishers Station Dr Ste 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Enumeration Date
- September 26, 2018
- Last Updated
- September 26, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)