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NPI Code Detail

MEDICARE: HALEY WENOS

MEDICARE:   HALEY  WENOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOTH-009180AZ

General Provider Information

NPI Number : 1609751551
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY WENOS
Provider Business Mailing Address
First Line : 3514 E GLENN ST UNIT 4
Second Line :
City : TUCSON
State : AZ
Zip : 85716-2486
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 N PARK AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-3558
Country : US
Telephone Number : 520-882-6151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2025
Last Update Date : 08/09/2025

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Directions to “ HALEY WENOS ” Practice Location

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