Healthcare Provider Details

I. General information

NPI: 1225764228
Provider Name (Legal Business Name): HALEY MARIE BARBOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2022
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 S MAIN ST
FALL RIVER MA
02721-5327
US

IV. Provider business mailing address

4 S MAIN ST
FALL RIVER MA
02721-5327
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-5233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTL36741
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: