Healthcare Provider Details

I. General information

NPI: 1093296469
Provider Name (Legal Business Name): HALEY FAY FOX MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 MILLER RD
SINKING SPRING PA
19608-2012
US

IV. Provider business mailing address

2851 CENTRE AVE
READING PA
19605-2567
US

V. Phone/Fax

Practice location:
  • Phone: 610-463-7760
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC014181
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: