Most Relevant Information
Provider Data
| NPI Number: | 1003685223 |
| Provider Name: | HALEY OCHOA CTRS |
| Entity Type: | Individual |
| Taxonomy Code: | 225800000X |
| Specialty: | Recreation Therapist |
| License Number: | 83926 |
Most Important Dates
| Enumeration Date: | 12/28/2023 |
| Last Updated: | 12/28/2023 |
Provider Practice Location
7130 TURKEY RUN DR
FORT WAYNE
IN
468157734
Practice Location Phone/Fax
| Phone: | 2197289814 |
| Fax: |
Provider Mailing Location
7130 TURKEY RUN DR
FORT WAYNE
IN
468157734
Provider Mailing Phone/Fax
| Phone: | 2197289814 |
| Fax: |