| NPI | 1043612955 |
|---|---|
| Former Name | HALEY BORNEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT25579) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 11471) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2024-09-05 |