Healthcare Provider Details

I. General information

NPI: 1780564419
Provider Name (Legal Business Name): HALA SAIF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2099 W RIDGE RD
ROCHESTER NY
14626-2728
US

IV. Provider business mailing address

2099 W RIDGE RD
ROCHESTER NY
14626-2728
US

V. Phone/Fax

Practice location:
  • Phone: 585-434-7767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number030515
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: