Healthcare Provider Details

I. General information

NPI: 1457127425
Provider Name (Legal Business Name): HALE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4132 E JOPPA RD
BALTIMORE MD
21236-2272
US

IV. Provider business mailing address

4132 E JOPPA RD
BALTIMORE MD
21236-2272
US

V. Phone/Fax

Practice location:
  • Phone: 717-454-3713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN BELL
Title or Position: PRESIDENT
Credential: KAREN BELL
Phone: 561-441-5579