Most Relevant Information
Provider Data
| NPI Number: | 1003240730 |
| Provider Name: | JACLYN RENEE HALEY OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 104500 |
Most Important Dates
| Enumeration Date: | 08/29/2013 |
| Last Updated: | 08/29/2013 |
Provider Practice Location
20288 HIGHWAY 15 N
SUITE 100
HUTCHINSON
MN
553505684
Practice Location Phone/Fax
| Phone: | 3205872326 |
| Fax: | 3202346358 |
Provider Mailing Location
1660 LINCOLN AVE
ST PAUL PARK
MN
550711249
Provider Mailing Phone/Fax
| Phone: | 2187916246 |
| Fax: |